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SAN JOAQUIN <br /> Environmental Health Department <br /> ,z <br /> COUNTY <br /> °?cFoa'P' Greatness grows het,. <br /> �1 <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:� 151.�4 Inspector: &VAOIMh(�f6( CONSTRUCTION <br /> Facility Address:_E (' /bn <br /> Well Address: Total Depth: <br /> WP#2,V V 1M4 Well#: Mu)- DrillingDrilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company:ffiVI hrn,,/'lf f DOhl&4004W <br /> Driller Onsite: Jew <br /> Length From: To: <br /> Consultant: flzeU FhV�QDnm&a-(-CiJt 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: WT height _Ef W7:F <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION comPLET1oN <br /> Method: GroundSwiacs T <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No - , —n' <br /> ft. <br /> ft. <br /> SPOILSZZ <br /> = <br /> Contamination Noted: ❑ Yes El No AS <br /> If yes, spoils storage Location: stood <br /> sac:on <br /> Covered: ❑ Yes ❑Noack <br /> = VW <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: _ <br /> Depth to Water: A/W n• 21 — tt. <br /> Grout Material: Ne am i� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: W <br /> Casing Type: <br /> ❑Well Installation Well Destruction h bVflt �t q Blank Feet Screen Feet <br /> (�(Jeq 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 4-1 <br /> remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags eallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 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 A <br /> 15 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.slcehd.com <br />