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� 8N /[�8AU|N <br /> — ���|����A�U|N Environmental Health Department <br /> r --'COUNTY--- <br /> Cre"/^us9m"^ here, <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: SLAS3X6K1 CONSTRUCTION <br /> Facility Address ' /��'1' <br /> Well Address: Total Depth: <br /> VVP eU#: Drilling Rig Type: <br /> 5oi| 8oring#� <br /> ' Min 2"Annular EHDSea[Verified: LJ Yes []No <br /> Drilling Company: C61-1111161- <br /> Screen Length From: � <br /> � To: <br /> Driller Onsite: ------- ---------- <br /> Filter Pack From: To: <br /> B <br /> Consultant: �------- �—�-------- <br /> Bentonite From:� To: <br /> �eo|o8ist� ------- �--------- <br /> Grout Fnom: To:__________ <br /> Public Water System Onsite: LJ Yes []No COMPLETION [] Stove Pipe []Christie Box <br /> Domestic Well Onsite:� [] Yes []No <br /> casing <br /> |fyes, location and distance: height . <br /> SAMPLING o <br /> Holding Temperature: pvwrLE=m COMPLEMN <br /> ���� <br /> Method: a= <br /> Screening Method: grow <br /> Verified Chain of Custody: [] Yes []No <br /> SPOILS | <br /> � <br /> Contamination Noted: El Yes []No <br /> if yes,spoils / `@ <br /> ' wionm <br /> Covered: 11 Yes []No ! <br /> |fyes, material: <br /> GROUTING or DESTRUCTION Total Depth: '4. FE <br /> Depth tnVVater: ---- ~-___-f� -�-_- t���+J <br /> IF <br /> Grout Material: /-) <br /> Gallons of Grout Used: ^ rjj <br /> Casing Type: <br /> �� <br /> []VVe|| |nstu||ation ��pe|| Destructiun Blank Feet Screen Feet <br /> []Boring|nstaUatiun []BohngDeotruction Slot Size: <br /> Bags ofCement: <br /> METHOD USED 8ugsSunJ/5rove|: <br /> Type/8randofBenton�e� <br /> []P/esaure Grout []0verDri|| <br /> Filter Pack Type/Size: <br /> El Gravity b�rremie l~��ther: � Typeof&1ethud� <br /> Water Cement 471b Water Cement 94 1 b <br /> gall s Bags gall s Bags <br /> Thickest Thinnest Bags Thickest Thinnest V Bags Bentonite/Cement Mix _3% Mix 5_% Wx <br /> 2.5 5 5 10 Bentonite per 47 lb 1.41 2.47 , <br /> 10 20 4 20 40 4 <br /> 15 30 6 30 60 6 <br /> 20 40 8 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 200468-34201 F 2O0484'0138 1 <br />