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SAN,JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> ��:n <br /> �CSkmoa'�` Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:6-fP`2-C Inspector: Alkfe, CONSTRUCTION <br /> Facility Address.6-4cio c4s-4w.,4 <br /> Well Address: Total Depth: <br /> WP#cro4/wis- Well#: WMC--2 Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: Cckscoe <br /> Driller Onsite: ✓rc .- Screen Length From: To: <br /> Consultant:jia.c66J Filter Pack From: To: <br /> Geologist: Al/ 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: IffT height <br /> VM <br /> SAMPLING ABOVE-GRCUND ctwlsri eox <br /> Holding Temperature: �t g'�T1ON COMPLETION <br /> Method: oround s x+ae. <br /> Screening Method: ar«a <br /> Verified Chain of Custody: ❑Yes ❑No tt' <br /> _n. <br /> n. <br /> SPOILS <br /> O <br /> Contamination Noted: ❑Yes ❑No <br /> If yes,spoils storage Location: slot:ad fi <br /> sar.'on ' <br /> Covered: ❑Yes ❑No = g-W PaCk <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: d f <br /> Depth to Water: f4b GuJ <br /> Grout Material: A AenAgbe4 <br /> Gallons of Grout Used: / 3 d,r11d' MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation R /ell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Cressure 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 /> allons Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Il Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 lBentonite per 47 lb 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 1 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 3s 70 7 <br /> 20 40 0 40 00 8 <br /> /krX�,L�. ���� � 10/16/2017 <br /> 9 yr /ar/.J. <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />