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SANJOAQUIN Environmental Health Department <br /> ----COUNTY <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date �`i �"`1 Inspector: DSV 1 O� - CONSTRUCTION <br /> Facility Address: 0,;ia <br /> Well Address: Total Depth: <br /> WP#(20 L- a Well#: Drilling Rig Type: <br /> Soil Boring#: — 5 Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company:Driller Onsite: ro 044Screen Length From: To: <br /> Consultant: ,7 <br /> Filter Pack From: To: <br /> Geologist: <br /> 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: height <br /> SAMPLING AWVE-GROUND <br /> Holding Temperature: COWLETlON cCCMPLEnoN <br /> Method: Ground S`°t'o' <br /> Screening Method: / orou< <br /> Verified Chain of Custody: El Yes El No (61 ,401 <br /> I � `�I �n' <br /> f.1< ,s / ft. it. <br /> SPOILS ��j� 'Z <br /> Contamination Noted: ❑ Yes ❑No �y 0 ' <br /> If yes, spoils storage Location: to .bitoe <br /> 65 ax2on <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: . tt. <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation*oring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> 22 Filter Pack Type/Size: <br /> avity �reA ❑Other: Type of Method: <br /> �r <br /> Water Cem 471b water Cement 94 lb <br /> allons B s allons Bags <br /> Thickest Thinnest ryBags Thickest Thinnest uBags 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 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 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.slcehd.com <br />