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SA N J OAQ U I N Environmental Health Department <br /> L►�I J —COUNTY— <br /> Greatness grows her, <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �� 3-�� Inspector: 46-*� CONSTRUCTION I <br /> � / <br /> Facility Address: 3 7 S7 s• /��pr�-t�q� <br /> Well Address: ,�lJ Total Depth: <br /> WP# Zy� 2-1 3 W ell#: Drilling Rig Type: <br /> Soil Boring#: :5y Z Z 9 Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: — h v'ia / fo6G <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: GLar&_'L Filter Pack From: To: <br /> Geologist: u uX.a Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe El Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVEGROUND <br /> Holding Temperature: COWPLET{ON COMPP=ON <br /> Method: Ground Sumacs j r <br /> Screening Method: grout eV <br /> Verified Chain of Custody: ❑ Yes El No <br /> ft. <br /> SPOILS ft = 446 <br /> 13 <br /> Contamination Noted: ❑ Yes ❑No = �p 4y•6- <br /> If yes, spoils storage Location: _ � 91 <br /> apron <br /> Covered: El Yes ❑No _ s-VWPack <br /> If yes, material: ~- Ei <br /> GROUTING or DESTRUCTION Tot I Depth: 'S ' M <br /> F IF <br /> Depth to Water: O t uK 7e]r n• ft j( o / <br /> Grout Material: t<! MATERIALS/DEVELOPMENT /4 ry <br /> Gallons of Grout Used: <br /> Casing Type: <br /> Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall Bags vallons Bags <br /> Thickest Thinnest VBags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 3% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <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 <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.s*cehd.com <br />