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i Paw.ti <br /> SAN.='1OAQUIN Environmental Health Department <br /> ---COUNTY— <br /> c"c,�Foa P' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 61 2-ej Z Inspector: (, 9177MA CONSTRUCTION <br /> Facility Address: ?AKE.I'r�A'Y1fnrsfiYP#'c(�J W <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: 13-114 , <br /> Drilling Company: G1Y <br /> in 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> _�(,(� <br /> Driller Onsite: W 11Qk Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: JNU 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 <br /> height <br /> SAMPLING AZOVE-GROUND <br /> Holding Temperature: COWLETION COMPt.ET10N <br /> Method: G=nd Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No 4, —ft. <br /> tt. <br /> ft. <br /> SPOILS =_ <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> abttnd = � <br /> ,wc^on <br /> Covered: ❑ Yes ❑No = � <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: L1t"I�i __ <br /> E IF <br /> Depth to Water: � � n — n <br /> Grout Material: <br /> Gallons of Grout Used: "p MATERIALS/DEVELOPMENT <br /> 1 Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation� Slot Size: <br /> Boring Destruction gags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity XJremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest aBags Bentonite/Cement Mix 3% Mix 3% 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 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 so 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.slcehd.com <br />