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�OVIN�•-_ <br /> SANgJOAQUIN Environmental Health Department <br /> ^ I'.!�. 1�I <br /> —COUNTY-Greatness grows here. <br /> // Monitoring Well/Soil Boring Inspection Report <br /> Date:r/-LZO� Inspector: AA9t" CONSTRUCTION <br /> Facility Address: 63dV LV• aK- // <br /> Well Address: Total Depth: <br /> Wmein4`4045 Well#. a !/&I-o Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: CQ tCLwe Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: kle / Screen Length From: To: <br /> Consultant:�-74 e"c(hJ Filter Pack From: To: <br /> Geologist: /4 Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑Yes ONO casing <br /> If yes, location and distance: height T. <br /> SAMPLING ABOVEGROUND T <br /> COhPLETION COMPLETION <br /> Holding Temperature: con4r�Er1oN <br /> Method: Smods <br /> Screening Method: arcut <br /> Verified Chain of Custody: ❑ Yes ❑No —tt' <br /> n. I <br /> SPOILS <br /> e <br /> Contamination Noted: ❑ Yes ❑No ps_t 2 ; 3L <br /> / <br /> If yes,spoils storage Location: 3L 7 .local <br /> B <br /> Covered: ❑ Yes ❑No tS' '�cJon = ara�a� <br /> SvE-s� <br /> If yes, material: 5" tyS <br /> GROUTING or DESTRUCTION Total Depth: 4Xr ltmr <br /> Depth to Water: /2, /7' tt. IF = I ft. <br /> .,Grout Material: /06%01/04 — 2S 4rl .\ <br /> �jGallons of Grout Used: /Uu•f 4'n+'t-N'C ` II MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation WNell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> C�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 /> atlons Bags eallons Oaks <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 11.41 2.47 <br /> 5 10 2 10 20 2 Bentonite er 94lb 2.82 4.7 <br /> 7.5 35 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 s 5V ��//o.y HK l6�Z 'go <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 <br /> 20 40 1 8 40 80 8 <br /> -�� 10/16/2017 <br /> W'e & �vrYi ' Z e,aye2 i <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 />