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SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY— <br /> Greatness grows herr• <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �� �^ Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: '44?A 5, MArvW1eA Total Depth: <br /> wP# 004 121iZ Well#. Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2" Annular EHD Seal Verified: El Yes El No <br /> Drilling Company:_�A� 6j�. IJ�jC� ' �C I%, eov\ <br /> Driller Onsite: �0 Screen Length From: To: <br /> Consultant: Iep' &.'er"Aq 6roup Filter Pack From: To: <br /> Geologist: ��..Y\ <br /> Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING 11BCVE-GROUND <br /> Holding Temperature: COWLETZN CCW=CN <br /> Method: Gemrd svtacs <br /> Screening Method: af°ut <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: st°ttoa <br /> ancon <br /> Covered: ❑ Yes El No a, <br /> = craw+;.adc <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: SIrS = loykl')Z <br /> Depth to Water: " W&AV . Zmck Ib.S W-150'+•I -ft- ft' <br /> Grout Material: a MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 1'�A40\0 11i . <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation 12Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> El Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest VBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 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 30 6 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.sacehd.com <br />