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r SAN JOAQUIN Environmental Health Department <br /> �. —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: /�y�V3 In pector: i✓z4�G�+' CONSTRUCTION <br /> Facility Address: uG Ar,04_7 IFH <br /> Well Address: Total Depth: <br /> W# 6-6 1/9` r&� Well#: /Z Drilling Rig Type: <br /> Soil Boring#: T� fj/i5/1 b Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: C°!4t°ore /9 Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: PpS Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No <br /> casing <br /> If yes, location and distance: netyhe <br /> SAMPLING ABOVE-GROUND <br /> COMPLETION C O <br /> Holding Temperature: cOMPLETioMP�TION <br /> Method: Oround s'"1"' T <br /> Screenin Method: �j �� n gra <br /> Verified Chain of Custody: ❑ Yes ❑No ' �/��� �n• <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No ' . _ 4 <br /> If yes,spoils storage Location: @bnad :. <br /> � t4rioni <br /> Covered: El Yes ONO <br /> If yes, <br /> GorDES 1a = <br /> GROUTING or DESTRUCTION T tal Depth: '® '•?. =_ . <br /> Depth to Water: 14 /I tt• — n• <br /> Grout Material: e MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: /O Q/ Q Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <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 _ Bentonite/Cement Mix 3%Mix 5%MIx <br /> 2.5 5 1 5 10 1 Bentonite per47lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94lb 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 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 95 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.s'cehd.com <br />