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R`. SAN 10AQUIN <br /> Environmental Health Department <br /> " COUNTY— <br /> �4:;;:�,•` Greatness graws <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: T(b� Inspector: StlS d 1 CONS i RUCTION <br /> Facility Address:- 3710 W, 71e—&KA ->",, �aCK6tj� <br /> Well Address: Total Depth: 2 y0 <br /> WP#" k2/$ � Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> Drilling Company: CA <br /> Driller Onsite: uB�-a-V� Jah �S Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: lou To: S <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 ABOVE-GROUND <br /> COWLETION C40%WL TION. <br /> Holding Temperature: c�t�riot� <br /> Method: cimdhd Sudace <br /> Screening Method: or«it <br /> Verified Chain of Custody: ❑ Yes El No <br /> tz. <br /> SPOILS ft• <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: ' <br /> 0 <br /> slonad <br /> Covered: -KYes ❑No <br /> / 9ra,W paGc <br /> If yes, material: rat ( Iti1PP3( <br /> GROUTING or DESTRUCTION Total Depth:2b `l CI00(91( �.�� = . <br /> Depth to Water: ^—— is, ft � '— n• <br /> Grout Material: ,S% b e,A,47,.,..i It-e <br /> Gallons of Grout Used: —Sgo w--it MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ,,Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring 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 /> ❑ Gravity `KTremie ❑Other: _ Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas galluns ea s <br /> Thickest Thinnest #Bags Thickest Thinnest 9Bags 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 s <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 1 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.socehd.com <br />