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�JOAQUIN SAN <br /> f� `� Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: l�l 21( �-�'I Inspector: U C�`/ CONSTRUCTION <br /> Facility Address: <br /> Well Addres Total Depth: <br /> WP# O© I? Well#: 6 g Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: &e_O C, Filter Pack From: To: <br /> Geologist: �}�ti,�;-�y p�{ j� 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: height <br /> %n <br /> SAMPLING AWVE-GROUND <br /> Holding Temperature: 00molLETION cCOMPoN <br /> Method: cdroUndSwfaos+ <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft. <br /> tt. <br /> ft. <br /> SPOILS <br /> A <br /> Contamination Noted: ❑ Yes ❑No T <br /> h. z <br /> If yes,spoils storage Location: <br /> •bled v: c <br /> saz•,ion <br /> Covered: ❑ Yes ❑No <br /> gnvpt pacsc <br /> If yes, material: <br /> GROUTING.or-DESTRUCTION. Total Depth:-_.,. �.... <br /> Depth to Water: '� r(� " ` n• <br /> Grout Material: w( Le^ <br /> Gallons of Grout Used: <br /> MATERIALS/DEVELOPMENT <br /> ^— �°� av` S Casing Type: <br /> ❑Well Installation `Well Destruction Blank Feet Screen Feet <br /> )) <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grouter Drill Filter Pack Type/Size: <br /> Gravity P Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> gallons Ba s all s Bags <br /> Thickest Thinnest tt Bags Thickest Thinnest tt Bags BentoniteXement Mix 3% MIX a% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.411 2.47 <br /> 5 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 so 5 <br /> 15 1 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 20 1 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 I T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />