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SAN JOA UIN <br /> Q ;,5 Q Environmental Health Department <br /> " —COUNTY <br /> S,gsop Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: —2,0 2-6 Inspector: CONSTRUCTION <br /> Facility Address: &906 A44 44 <br /> Well Address: Total Depth:6S�r <br /> Wmply"/070- Well#: .44W (0" Drilling Rig Type: G10 q� <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: Yes El No <br /> Drilling Company: Lea vAe r t <br /> Screen Length From: To: PI-P N"z <br /> Driller Onsite: 4)4� r <br /> Filter Pack From: To: ya ,)- <br /> Consultant:�67 K , <br /> Geologist: Ei•'L Bentonite From: 3 To: .. vb�{try <br /> Grout From: �/� To:�eidep,,j <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION 9 stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No —� casing <br /> If yes,location and distance: height <br /> SAMPLING ABOVE•GpOUND CH wrw3ox <br /> Holding Temperature: COMPLEn°N COMPLETION <br /> Method: G=nd s+lacY <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑Nott' <br /> tt. <br /> Ott. <br /> SPOILS <br /> e <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: ,b� S7 <br /> =n I = <br /> Covered: ❑ Yes ❑No = g,,,,aPack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: Get <br /> Depth to Water: <br /> Grout Material: Al ties. <br /> MATERIALS DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: e- 's` ab <br /> 1? ell Installation ❑Well Destruction Blank 40°7S-Feet Screen Z.or Feet <br /> slotsize: 4o/9) <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: A7 <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: AA <br /> ❑ Gravity U?remie ❑Other: Type of Method:7PavY <br /> Water 471b Water Cement941b <br /> allons Rallons Bags _ <br /> Thickest Thinnest #Bags Thickest IThinnest #Bags _ Bentonite/Cement Mix 3% Mix 5%Mix_ <br /> 2.5 5 1 s 10 1 _ Bentonite per47 lb 1.41 2.47 _ <br /> s 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 r11� t •. %bp,,., A-f— fl N11 <br /> 1 25 s 25 50 s 5, y <br /> is5 30 6 30 80 6 rW't� L% '7� p <br /> 17.5 3s 7 35 70 7 I(X 3bys 7Sff�H <br /> 20 40 8 40 80 8 <br /> IA,*4 7ih76 M'P#70 10/16/2017 <br /> 17 <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 />