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J�t�f!IV <br /> _ 2 SANJOAQUIN Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> c� Monitoring Well/Soil Boring Inspection Report <br /> Date: I )l '222D Inspector: �tS CONSTRUCTION <br /> Facility Address: I, <br /> Well Address: \2DO NUW 0r kik 0 7Oyl, Total Depth: <br /> WP# r) ell#: Drilling Rig Type: <br /> Soil Boring#: Zr <br /> Min 2"Annular EHD Seal Verified: ElYes El No <br /> Drilling Company: (2A?-o FAX, <br /> Driller Onsite: UvY 0S <br /> Screen Length From: To: <br /> Consultant: F`2w�,hA � <br /> Filter Pack From: To: <br /> Geologist: '5CV�� 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 El No casing <br /> If yes, location and distance: height <br /> —QW7,7 <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: 0016VILET1ON C4064PLEnON <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> tt. <br /> R. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El NoA. <br /> — <br /> If yes,spoils storage Location: stoned <br /> on — 3 <br /> Covered: ❑ Yes ❑No <br /> If yes, material: _= <br /> GROUTING or DESTRUCTION Total Depth: KI "r - =_ <br /> Depth to Water: n- IF <br /> n' <br /> Grout Material: ��. �'� ` �" � � <br /> Gallons of Grout Used: � A� A`� MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation Goring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity �qTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest arBags Thickest Thinnest 71 Bags Bentonite/Cement Mix 3% Mix S%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 X2.47 <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 5o 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 35 70 7 <br /> 20 40 8 40 80 8 <br /> A\_ 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />