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N SAN.,JOAOUIN Environmental Health Department <br /> —COUNTY-- <br /> C' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: A//W7/ Inspector: 1144 oow- CONSTRUCTION <br /> Facility Address: Z -300 Elyc)a Or:'lG <br /> Well Address: Total Depth: <br /> WP#l)Vt 3&7 Well#: Drilling Rig Type: <br /> Soil Boring#: /3/, 82 <br /> Min 2"Annular EHD Seal Verified: El Yes El No <br /> Drilling Company: Z&Yer <br /> Driller Onsite: Screen Lengt'IN x,.From: y, To: <br /> Consultant: ;evfu ce.- 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 ABOVE-GROUND <br /> Holding Temperature: CONFLETION CC*APLEnON <br /> Method: Ground Sudwe <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft' <br /> ft. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No - <br /> If yes, spoils storage Location: stottQd K __ <br /> sac�on <br /> Covered: ❑ Yes ❑No = g,,,w pack <br /> If yes, material: `. = ' <br /> f x� = <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: A/U i_W�_ v <br /> Grout Material: rv��fCEr <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation 9,_,/'B g Slot Size: <br /> L�JBorin Destruction gags of Cement: <br /> METHOD USED 81 -Ffi �' Bags Sand/Gravel: <br /> dr �`4- � Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill gZ SSA Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas allons Bags <br /> Thickest Thinnest uBags 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 <br /> 10 204 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 8o 8 <br /> � I 16 J14-26 ?q <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.s'cehd.com <br />