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n n <br /> P,pUlly <br /> S A N J 0 A 0 U I N Environmental Health Department <br /> " —COUNTY-- <br /> c Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector:S- 1-homrnay y�S66j CONSTRUCTION <br /> Facility Address: ism S• {�1r2b6 et 1,c�0�(�-+V►'� � a �j <br /> Well Address: Total Depth: rat <br /> WP# 29- MUTA Well#: Mhl" Drilling Rig Type: mw <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: AYes t❑No <br /> Drilling Company: MR bV'lWhA <br /> Driller Onsite: KkY-� Screen Length From:�� To: T <br /> Consultant: oborre'd Filter Pack From:� To:- <br /> Geologist: �,h�1S1111►��Y1�(2 Bentonite From: L!6� To: 2S' <br /> — <br /> Grout From: 29 To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe �KChristie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION ccown-EncN <br /> Method: °`°""°S"rf"' <br /> Screening Method: grcut <br /> t <br /> Verified Chain of Custody: ❑ Yes El No ft. <br /> . t <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No =" <br /> C <br /> If yes,spoils storage Location: sbttaa _ B 1 <br /> Covered: ❑ Yes ❑No = � U <br /> If yes, material: : <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: n- tt' <br /> Grout Material: *Y► ' <br /> Gallons of Grout Used: go- 0all0 S MATERIALS/DEVELOPMENT <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 ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall s Bags gallons Bags <br /> Thickest Thinnest »Bags 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 /> s 10 2 10 20 2 Bentonite per 94 lb 2.821 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.smcehd.com <br />