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�_ $QN :JOQQUIN Environmental Health Department <br /> --COUNTY-- <br /> 9q, P' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �i� Inspector: 1'VIA5 CONSTRUCTION <br /> Facility Address: ' d 11 <br /> Well Address: j'=_ 40,MPON5 Total Depth: <br /> WP# CQ ell#: Drilling Rig Type: <br /> Soil Boring#: 6 <br /> Drilling Company: O ,Sn(d�� `�I�n 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: a`�J� e r Screen Length From: To: <br /> Consultant:C'X4FVV%e <br /> �—Lelflmd<n Filter Pack From: To: <br /> Geologist: �,��–. Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> iii <br /> SAMPLING ABCNE-GROUND <br /> Holding Temperature: COMPLETION =C01PTM 1oN <br /> Method: Cimne Sudace <br /> Screening Method: :, orout <br /> Verified Chain of Custody: ❑ Yes El No �ft' <br /> n. <br /> it. <br /> SPOILS <br /> Contamination Noted: ❑ Yes LJ No — <br /> If yes, spoils storage Location: abed _ - <br /> a on <br /> Covered: ❑ Yes ❑No = g-w+pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: b ( <br /> Depth to Water: l tL n' <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation RBoring Destruction Slot Size: <br /> 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 )44emie ❑Other: Type of Method: <br /> 1 <br /> Water C ment 471b Water Cement 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest ++Bags Bentonite/Cement Mix 3% Mix 3%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 z 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 5 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 /> Ilk 10/16/2017 <br /> 1868 E. Hazelton Avenue <br /> Vkton, California 95205 1 T 209 468-3420 F 209 464-0138 www.s'cehd.com <br />