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cr SAN�JOAQUIN <br /> `�� _ Environmental Health Department <br /> COUNTY — <br /> 11`°� r Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ��t/ , Inspector: U00 CONSTRUCTION <br /> Facility Address: �zZ S� Q t-t� Y+— �s <br /> Well Address: Total Depth: <br /> WP# <70 !3 .+q -Well#: V — Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: V Cam td <br /> Min 2"Annular EHD Seal Verified: C� Yes ❑No <br /> Driller Onsite: Ir r VA Screen Length From: 2 �7 To: 1+ 0 <br /> Consultant: Cm Jo Filter Pack From: z3 To: <br /> Geologist: Bentonite From: ) To:�� <br /> Grout From: To:_ '2- �_ <br /> Public Water System Onsite: ❑ Yes E]No COMPLETION ❑ Stove Pipe %Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLETION COMPLEncN <br /> Method: Ground Surface <br /> Screening Method: grkwt <br /> Verified Chain of Custody: ❑ Yes El No <br /> ft. <br /> Z- <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> slotted = . <br /> a�c^on <br /> Covered: ❑ Yes El Nogravel Pack <br /> _ <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 2 I ' �s�-E'o b = U <br /> Depth to Water: tt. <br /> Grout Material: N �c�. <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT p` r C- �:c <br /> Casing Type: 1 V <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: ,, 0 11❑Boring Installation ❑Boring Destruction Bags of Cement: a 5s <br /> METHOD USED Bags Sand/Gravel: <br /> '-essure Grout ❑Over Drill Type/Brand of Bentonite: 148(,1 <br /> Filter Pack Type/Size: ��i Z Sr.�v. A <br /> ❑ Gravity remie ❑Other: Type of Method: <br /> Water Cement 4716 Water Cement 941b <br /> allons Ba —,/ gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> Is 3 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> y10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 9520+15,1 T 209 468-3420 1 F 209 464-0138 www.s*cehd.com <br />