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_ SAN ��OAQ UI�� <br /> Environme 1 Health Department <br /> �• COUNTY— <br /> `s <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: CONSTRUCTION <br /> Facility ddre s:2,1 J� <br /> Well Address:2- Total Depth: CC <br /> WP# Jy 3 ?(� Well#: Drilling Rig Type:_ I J <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: 12 es ❑No <br /> Drilling Company: V J LxT 9M6 i <br /> Driller Onsite: � ,�fZ� � r �Z, Screen Length From: To: ?�� <br /> Consultant: Filter Pack From: To: 7iw <br /> Geologist: Bentonite From: To: ZJ <br /> Grout From: To: ,zj5E <br /> Public Water System Onsite: PYes ❑No COMPLETION EJ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: El Yes casing <br /> If yes, location and distance: height <br /> SAMPLING A CVE•GROUND _ <br /> Holding Temperature: ��"g'�T1ON COMPLETION <br /> Method: around Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑Noft- <br /> ft. <br /> n. <br /> SPOILS - —_ <br /> Contamination Noted: ❑ Yes Co = o Q <br /> If yes, spoils storage Location: sb _ c M-- <br /> aon = y� <br /> Covered: ❑ Yes ❑No _ V1w Pack v <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: tt- _ n• <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: Ci <br /> ❑Well Installation ❑Well Destruction B I a n k Feet Screen _Feet <br /> ❑Boring Installation ❑BSlot Size: 40. 0oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest uBags Bentonite/Cement Mix 3% MIX 3%MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 �, www.socehd.com <br />