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SAN JOAQUIN Environmental Health Department <br /> ---COUNTY-- <br /> cqP Greatness grows here <br /> � Mo�nitooringaWell/Soil Boring Inspection Report <br /> Date: `1/�' Inspector: 1✓V7 c, r' • CONSTRUCTION <br /> Facility Address: '7'-T LIV, a ti' f'live , <br /> Well Address: Total Depth: <br /> WP#LZtZ226 __Well#: Drilling Rig Type: <br /> Soil Boring#: - - / Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: i <br /> Driller Onsite: Creen Length From: To: <br /> Consultant: ifo`vi 'j C71-1l 6r-p-)� Filter Pack From: To: <br /> Geologist: GLV1 Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 11 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: T I height <br /> SAMPLING A.&:NE-GRCUND <br /> Holding Temperature: COMPLETION CCIMPLETICN <br /> Method: Ground 5urfacs <br /> Screening Method: �f}.� ( ) QfO1f1 <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> n. <br /> SPOILS <br /> GPT ( ft <br /> Z <br /> Contamination Noted: ❑ Yes El No p <br /> If yes, spoils storage Location: <br /> a*c:cn <br /> Covered: ❑ Yes ❑No = �, <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Qepth: <br /> Depth to Water: — 7-,0 -tt. <br /> Grout Material: <br /> Gallons of Grout Used: - MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installationoring 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 IKremie ❑Other: Type of Method: <br /> Water Cement LbWater Cement 941b <br /> aflons Bas illons Bag5 <br /> Thickest Thinnest "Bags Thickest Thinnest "Bags Bentonite/Gement Mix 3% MIX 55% MIX <br /> 2.5 5 1 _ 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10Z 10 20 2 Bentonite per 94 Ib 2.821 4.7 <br /> 7.5 15 3 15 30 3 <br /> 1 20 4 20 40 4 !/1_ <br /> 12..5 25 25 50 5 �,N t / <br /> 1. 30 6 30 60 6 n e i <br /> 1 35 35 70 7 y -f � 3 <br /> 2U0 40 ^u 40 20 b '' ll <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.s'cehd.com <br />