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SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: S,RAmm(4VoV q CONSTRUCTION <br /> Facility Address: ( � S.� 0100 fr(�,_LqC 6n <br /> Well Address: Total Depth: <br /> WP#lwo 1141 Well#: MAI-6 Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2" Annular EHD Seal Verified: El Yes El No <br /> Drilling Company"�IV1121�]�21/IfTLI Gd►�riral Olf(DUar <br /> Screen Length From: To: <br /> Driller Onsite: esf�Consultant: Filter Pack From: To: <br /> �128 ( �,( , IY1C. <br /> Geologist: r}'U 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: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: °OWPLE ON ccoMPLEncN <br /> Method: G=nd Swface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> tt. <br /> ft. <br /> SPOILS <br /> = o <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: clod <br /> sacdon — B <br /> Covered: El Yes ❑No <br /> ack <br /> If yes, material: ' _: — <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: /""IV <br /> Grout Material: Nfg arlvmMATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Tw APokbyy Casing Type: <br /> ❑Well Installation Well Destruction monfI'iloOkg Blank Feet Screen Feet <br /> Wdo Slot Size: <br /> ❑Boring Installation ❑Boring Destruction gags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout L ver Drill Type/Brand of Bentonite: <br /> ✓✓✓✓ Filter Pack Type/Size: <br /> ❑ Gravity �Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall Bags gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 Is 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 �//r/,( - �{�lb <br /> 15 30 6 30 60 6 �J L �/f 1 <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.sacehd.com <br />