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SANS-JOAQUIN Environmental Health Department <br /> COUNTY <br /> Greotness grows here. <br /> (t Monitoring Well/Soil Boring Inspection Report <br /> Date: -I" -yilo Inspector: (arQl W00 CONSTRUCTION <br /> Facility Address: t,-QQ IJVMDnrkys <br /> Well Address: Total Depth: <br /> WP# OG W I z(i Well#: Drilling Rig Type: <br /> Soil Boring#: F)- 8 Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: 5W-tic NtIf-Vt W, EY plurafiC ? <br /> Driller Screen Length From: To: <br /> Onsite: DQV <br /> Consultant: Ganrwtr-hiernwq Filter Pack From: To: <br /> Geologist: <br /> Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABtayE-GROUND <br /> Holding Temperature: COMPLETION ccwLEngN <br /> Method: Ground Surface <br /> Screening Method: R groat <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> n. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: slotted <br /> s�c9on s — <br /> Covered: ❑ Yes ❑No w _= <br /> g-vaP-cfc <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 1(%.1 • <br /> Depth to Water: SIG" <br /> Grout Material: NQ(,rt 02 n-er;f <br /> Gallons of Grout Used: 55 MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation gBoring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> []Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity [�Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas aallons 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 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 s 25 50 5 G hAgS 4 q4 It3 CQf(�gnf 2 hQnd fUl S <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 5G gQ11011C 1�Qt�( � nitZ mryc <br /> 20 40 0 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />