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SANJOAQUIN <br /> Environmental Health Department <br /> COUNTY--- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 2 IInnspecto : t CONSTRUCTION <br /> Facility A dr ss: 7 , <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: tj!IJA V P,(A ._Tn (�JeOI'eS wIG Screen Length From: To: <br /> Driller Onsite: at e ayUX� J <br /> Consultant:_ S SIL. {a (.I(I 4-e 5 Filter Pack From: To: <br /> Geologist: tc�r��,�. 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 ❑No casing <br /> If yes, location and distance: T height <br /> SAMPLING 11 ABOVE-GROUND <br /> Holding Temperature: CONFLEfION CCOOMPt�.EMN <br /> Method: Ground Sumacs <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes ❑No �tt• <br /> tt. <br /> ft. <br /> SPOILS <br /> = e <br /> Contamination Noted: ❑ Yes ❑No — <br /> If yes,spoils storage Location: stoned <br /> ascsan <br /> Covered: ❑ Yes ❑No <br /> grays,Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 50 4- _ <br /> Depth to Water: tz <br /> n' <br /> Grout Material: <br /> Gallons of Grout Used: l8 CaGU��� MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation Boring 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 WTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas zall ons Bags <br /> Thickest Thinnest IBags 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 <br /> 12.5 25 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 /> 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 />