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=Y Z� SAK JOHNIN <br /> � Environmental Health Department <br /> " i <br /> —COUNTY— <br /> LT-3z <br /> ., <br /> Greotness grows here. C04n\ <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 2:51-4�?A Inspector: t WS CONSTRUCTION <br /> dd <br /> Facility Aress: ki n4 OR ckuak 5f, <br /> Well Address: i Total Depth: <br /> WP# 004 Q Well#: Drilling Rig Type: <br /> Soil Boring#: '70 LA Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: V 4AVIJ <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: 5 Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 1-1 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CON'�1ON COMPLETION <br /> Method: Gvund S"f"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes 5ZNo <br /> If yes, spoils storage Location: slotted <br /> an — B <br /> Covered: [4 Yes ❑No = � <br /> If yes, material: Ml .fin. ry�,� , ': <br /> GROUTING or DESTRUCTI N Tot I Depth: a. _ <br /> Depth to Water: n — f<• <br /> Grout Material: N41 MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Z �: <br /> ❑Boring Installation Boring Destruction Slot Size:{2 Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> 1 ba9 <br /> ❑Pressure Grout ❑ d6` Type/Brand of Bentonite: <br /> Over Drill /V � I <br /> aJ�( Filter Pack Type/Size: <br /> ❑ Gravity MTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 z 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 SO 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />