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�Q SAN 10AQ U I N Environmental Health Department <br /> COUNTY .._.._. <br /> Greutness grows here. <br /> ` <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: /Z /Z I Spector: LA) CONSTRUCTION <br /> Facility Address: `X0 5— it <br /> T <br /> Well Addr ss: Total Depth: <br /> WP# ell#:j Drilling Rig Type: <br /> Soil Boring#: (--1 <br /> `�D <br /> Min 2"Annular EHD Seal Verified: 1:1Yes El No <br /> Drilling Company: <br /> Driller Onsite: f� Screen Length From: To: <br /> Consultant: t/ Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> � Z � <br /> SAMPLING Agpyg.GRCUNDCHRt51Y50X <br /> Holding Temperature: Irk I l71 1COMPLETION COMPtEnoN <br /> Method: Grand Sudwe <br /> Screening Method: �`Z oroea <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> ft. <br /> SPOILS s t . <br /> Contamination Noted: ❑ Yes ❑No =" — <br /> If yes,spoils storage Location: <br /> 0 <br /> abttad <br /> .on14 — 3 <br /> Covered: ❑ Yes ❑No 60, ��1 = 9-V +Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: _ <br /> Depth to Water: A 1 4. 1 — IF <br /> n <br /> Grout Material: a 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 Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity XTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas eallons Bags <br /> Thickest Thinnest RBags Thickest Thinnest 11 Bags Bentonite/Cement Mix 3%Mix 5% Mix <br /> 2.5 5 1 s 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 �� n 6((/oo fe <br /> 12.S 25 5 25 50 5 `L l + <br /> 15 30 6 30 60 6 lXo <br /> 17.5 35 7 35 70 7 I <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.socehd.com <br />