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f=' = SAN�IOA0UIN Environmental Health Department <br /> " t-+ s°°� `i —COUNTY <br /> `Osc;Four` ' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report'( <br /> Date: Z 2 Inspector: V til CONSTRUCTION <br /> Facility Address: Z -H 6 F r / .K eV We <br /> Well Address: ) Total Depth: <br /> WP# U II# Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: Min 2"Annular EHD Seal Verified: ElYes El No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 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 /> 37 <br /> SAMPLING asovE.GaoutlD <br /> Holding Temperature: COMPLETION CCoMPPLEnON <br /> Method: Ground Sumacs <br /> Screening Method: gr«n <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No aF <br /> If yes, spoils storage Location: <br /> stoned <br /> sat�on ' B <br /> Covered: ❑ Yes ❑No = � <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: .x.1'0�.-d/ t =_ <br /> Depth to Water: / , tt• <br /> Grout Material: 6"� nS-1�– MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 1 <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 kremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> gall s Bas gall ons Ba s <br /> Thickest Thinnest 4 Bags Thickest Thinnest xBags 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 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 /> 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 />