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SAN 10AQ U I N Environmental Health Department <br /> - COU NTY <br /> Greatness grows {sere . <br /> Q Monitoring Well /Soil Boring Inspection Report <br /> Date : l� Inspector : / L� a CONSTRUCTION <br /> FacilityAddress : 02 � • r� <br /> t <br /> Well Address : 69 90W U Total Depth : <br /> WP# o d (4 2 sa Well # : f4w �3 PAk L! Drilling Rig Type : <br /> Soil Boring# : <br /> Drilling Company : ( � ' Min 2 " Annular EHD Seal Verified : El Yes ❑ No <br /> g p y : S 0- ,�'+ <br /> Driller Onsite : � Screen Length From : To : <br /> Consultant : A � 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 ❑ No casing <br /> If yes, location and distance : IT height <br /> 7 Fj W7:F <br /> em <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature : COWFLET1ON cOMPLEnON <br /> Method : G=nd Surface <br /> Screening Method : grout <br /> Verified Chain of Custody : ❑ Yes El No 1 fto <br /> ft. <br /> ft. <br /> SPOILS <br /> — m <br /> Contamination Noted : ❑ Yjv'*�ajo❑ No = r <br /> If yes, spoils storage Location : T[w.) <br /> Covered : Yes ONO <br /> If yes, material : 1 Tk <br /> J <br /> GROUTING or DESTRUCTION Total Deth : SS `CC`ll�� <br /> Depth to Water : '� — <br /> ft. � = ft. <br /> Grout Material : <br /> Gallons of Grout Used : A ' 71010 MATERIALS/ DEVELOPMENT <br /> Casing Type : <br /> ❑ Well Installation * ell Destruction Blank Feet Screen Feet <br /> Slot Size : <br /> ❑ Boring Installation ❑ Boring Destruction Bags of Cement : <br /> METHOD USED Bags Sand/Gravel : <br /> El Pressure Grout Over Drill Type/Brand of Bentonite : <br /> Filter Pack Type/Size : <br /> ❑ Gravity Tremie ❑ Other : Type of Method : <br /> Water (( Cemen 471b Water Cement 94 lb <br /> allons Bas Rall ons Bags <br /> Thickest Thinnest riBags Thickest Thinnest ttBags Bentonite/Cement Mix 3 % Mix % Mix <br /> 2, 5 5 1 5 10 1 Bentonite per 47 Ib 1 .41 <br /> s 10 z 10 20 2 Bentonite per 94 Ib 2 . 82 4 . 7 <br /> 75 15 3 15 30 3 <br /> 10 20 4 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 80 8 <br /> 02 10/ 16/2017 <br /> 1868 E . Hazelton Avenue Stdckton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www . sjcehd . com <br />