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SAN�J0A0UIN <br /> � � Y Environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �Q `1"NW inspector: COT, Pre,9K CONSTRUCTION <br /> Facility Address: iWQ tivrrphrQjr; he►rfaT gQO Ktvn <br /> Well Address: Total Depth: <br /> WP# 00 y 1 19't Well#: Drilling Rig Type: <br /> Soil Boring#: GPT-1 <br /> Drilling Company: 6QG EX cVbsulfgfR E11p101 ytla?� Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Screen Length From: To: <br /> Driller Onsite: F,00 <br /> Consultant: Gc1rQ41-t;IkMir q 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 /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: OOWFLPTION coMPLEnoN <br /> Method: Ground Suri"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> ft. <br /> it. <br /> SPOILS <br /> e <br /> Contamination Noted: ❑ Yes El No = <br /> If yes,spoils storage Location: slotted <br /> s�cion — <br /> Covered: ❑ Yes ❑No <br /> g-W Pack <br /> a> _ <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:1c� <br /> Depth to Water: 1`)' n• n' <br /> Grout Material: NQgt C81Nnfi <br /> Gallons of Grout Used: -�+ MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation g Slot Size: <br /> CBorin Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity 2Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest "Bags Thickest Thinnest aBags Bentonite/Cement Mix 3% Mix 5% 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 CPI-26 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 2.5 bags t `r+ Ib CenNryf 2.5 1DG9S -x 4T Ib C~I' <br /> 17.5 35 7 35 70 7 (, gQ11cm w0or IU gullCltlS YYqu✓ <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sucehd.com <br />