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SAN,)JOAQUIN <br /> Environmental Health Department <br /> l COUNTY - <br /> 4�✓�/ Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: T-3-`�`d Inspector: cOrM PrCzSiU CONSTRUCTION <br /> Facility Address: I"CrJ NUS (,A) -4L MV-T �'r StC�Kt'Jt1 <br /> Well Address: Total Depth: <br /> WP# G0412C/- Well#: Drilling Rig Type: <br /> Soil Boring#: (01 CPT- Z� Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: &W EX osVrYgCQ E11NI kIfI017 <br /> Screen Length From: To: <br /> Driller Onsite: Ryan <br /> Consultant: GQhR -FN2rs;1 Filter Pack From: To: <br /> Geologist: -- 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 /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: 006PLF-TION co&P�LEnoN <br /> Method: Ground Surface <br /> Screening Method: VY, grout <br /> Verified Chain of Custody: ❑ Yes ❑No —h' <br /> tt. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes EJ No <br /> C <br /> If yes, spoils storage Location: sbttod = . <br /> s+c�an = B <br /> Covered: ❑ Yes ❑No <br /> grave,Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 1`JO. <br /> Depth to Water: Iii' n• tt' <br /> Grout Material: Nett CQIZ;YM <br /> Gallons of Grout Used: '-1MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation g Slot Size: <br /> C�Borin Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> ,��// Filter Pack Type/Size: <br /> El Gravity L�Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 4Bags 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 z 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 CPT-V <br /> 15 30 6 30 60 6 2.5 Ogg x 41 lb CQPVrH <br /> 17.5 35 7 35 70 7 3 hq 95 X 1471b CeP erd - <br /> 20 40 8 40 80 8 I U gGl1Ul vfat2r 13 gat'Wg YYCCIW <br /> 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 />