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SAN JOAQUIN -`i COUNTY Environmental Health Department cgCrpoa?'��' Greatness grows here. Monitoring Well/Soil Boring Inspection Report Date: /04 my Inspector: A&64- CONSTRUCTION Facility Address: 2,032 rw/1+/) /2a� Well Address: Total Depth: WP#may W Well#: Drilling Rig Type: Soil Boring#: At 7k-) o6 7 Drilling Company: /�Ynt LOI'� Min 2" Annular EHD Seal Verified: El Yes ❑No Screen Length From: To: Driller Onsite: Consultant: Filter Pack From: To: Geologist: / 7,,m VAkr ((0 aSl- 01NO Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑ Yes ❑No casing If yes, location and distance: 14. 6T height SAMPLING ABOVE-GROUND Holding Temperature: COMPLETION COMtPLEriON Method: Ground S"rtx' Screening Method: grout Verified Chain of Custody: ❑ Yes ❑No ft• ft. it. SPOILS = Contamination Noted: ❑ Yes ❑NoIf yes, spoils storage Location: aec•s on '— Covered: ❑ Yes ❑No = . If yes, material: r GROUTING or DESTRUCTION Total Depth: Depth to Water: Na AAwt4* ft• " — n• � Grout Material: /VUt-1- Gallons of Grout Used: to �z �9alloa.t MATERIALS/DEVELOPMENT Casing Type: ❑Well Installation ❑Well Destruction Blank Feet Screen Feet ❑Boring Installation L/B Slot Size: oring Destruction Bags Size: Cement: METHOD USED Bags Sand/Gravel: Type/Brand of Bentonite: ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: E Gravity ❑Tremie ❑Other: Type of Method: Water Cement 471b Water Cement 941b gallons Bags gallons Bags Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix 2.5 5 1 5 10 1 Bentonite per 47 lb 1 .41 2.47 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 7.5 1 15 3 15 1 30 3 10 20 4 20 40 4 12.5 25 5 25 50 5 1s 30 6 30 60 6 17.5 35 7 35 70 7 20 40 8 40 80 8 10/16/2017 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.s*cehd.com