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SAN JOAQUIN Environmental Health Department <br /> ri i COUNTY <br /> � s <br /> Greatness grows here . <br /> Monitoring Well /Soil Boring Inspection Report <br /> Date : ob U 22 Inspector : 1 CONSTRUCTION <br /> Facility Address : . <br /> Well Addre.�s : Total Depth : <br /> WP # � 0 � \ Well # : v3 � Drilling Rig Type : <br /> Soil Boring# : <br /> Min 2 " Annular EHD Seal Verified : ❑ Yes ❑ No <br /> Drilling Company . <br /> Driller Onsite : Screen Length From : To : <br /> Consultant : L, Filter Pack From : To : <br /> Geologist : ��..� C *- PVL y" �1 , <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 /> ww � i �V'W' <br /> SAMPLING AZOVE-GROUND <br /> Holding Temperature . GOttirT' IEC�UN COMPtET CN <br /> Method : GQ"r�ds"w1x' - + <br /> Screening Method : p=� <br /> Verified Chain of Custody : ❑ Yes ❑ No ft' <br /> ft. <br /> ft, <br /> SPOILS 44 = <br /> ON <br /> -� <br /> Contamination Noted : ❑ Yes ❑ No ` = r <br /> If yes , spoils storage Location : slotted <br /> &*Cton —_ <br /> Covered : El Yes El No _ <br /> If yes , material : 1gMV1W Pack <br /> 0 __ . <br /> GROUTING or- DESTRUCTION Total Depth : - <br /> Depth <br /> epth :Depth to Water : <br /> Grout Material : <br /> MATERIALS/ DEVELOPMENT <br /> Gallons of Grout Used : <br /> Casing Type : <br /> ❑ Well Installation rNwell Destruction Blank Feet Screen Feet <br /> Slot Size : <br /> ❑ Boring Installation ❑ Boring Destruction Bags of Cement : <br /> METHOD USED Bags Sand /Gravel : <br /> ❑ Pressure Grout ❑ Over Drill Type/ Brand of Bentonite : <br /> Filter Pack Type/Size : <br /> ❑ Gravity 'Tremie ❑ Other : Type of Method . <br /> A <br /> Water Cement 471b Water mens 941b <br /> allons Bas qall ons Bas ZCO <br /> a <br /> Thickest Thinnest ' Bags Thickest Thinnest s Bentonite/Gement Mix 3 % MI 5 % MixNOON <br /> a <br /> 2. s 5 1 s 10 1 Bentonite per 47 Ib 1 . <br /> s 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 f � , Nvj12. 5 25 5 25 50 5 <br /> 1s 30 6 30 60 6 <br /> 17. 5 35 7 35 70 7 t ` � C� <br /> 20 40 3 40 80 8 <br /> MOMMMMM <br /> 10/ 16/ 2017 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468- 3420 F 209 464- 0138 www . socehd . com <br />