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SA N J OAQ U I N Environmental Hea[ h Department <br /> COUNTY \ � <br /> oVe- <br /> 9 ��Greatness rows here. iV <br /> Monitoring Well/Soil Boring Inspection Report * 11� I , <br /> Date: Inspector: e1CA CONSTRUCTION <br /> Facility Address: \ E„ cnea . LQA' ( C <br /> Well Address: Total Depth: <br /> WP# Well#: Y\j"T-1Z-S� Drilling Rig Type: <br /> Soil Boring#: 12! I I Min 2" Annular EHD Seal Verified: ❑ Yes o <br /> Drilling Company: <br /> Driller Onsite: m Screen Length From: To. <br /> Consultant: <br /> Filter Pack From: �- To: <br /> Geologist: y► <br /> Bentonite Fro � To: <br /> Grout From: To: <br /> Public Water System Onsite: El Yes ❑No COMPLETION ❑ Stove Pipe PChristie Box <br /> Domestic Well Onsite: ❑ Yes ❑No <br /> casing \ <br /> If yes, location and distance: height <br /> SAMPLING A80YE-GROUND <br /> Holding Temperature: COM?LEf{ON COMPLETION <br /> Method: G=r)d SLwla.c9� 0 <br /> Screening Method: Or LA <br /> Verified Chain of Custody: El Yes El No ft. <br /> s <br /> I �.� <br /> SPOILS = �� <br /> Contamination Noted: El Yes El No <br /> m _ <br /> i <br /> m � <br /> If yes, spoils storage Location: <br /> Meson — 2 m s� <br /> Covered: ❑ Yes ❑No = 71�vi Pack <br /> obC <br /> If yes, material: — <br /> GROUTING-or-DESTRUCTION Total Depth: �S-b CO �� ��� `n <br /> a- <br /> Depth to Water: - hv � d�5 n• — n' S <br /> Grout Material: _ u <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation El Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: rUM k` 0 yes k <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ?CX�Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags Rallons Bags <br /> Thickest Thinnest t#Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix tJ% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib _ 1 .41 2.47 <br /> 5 10 2 10 20 2 Bentonite per-94 Ib 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 35 7 35 70 7 <br /> 20 40 8 40 80 1 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.s'cehd.com <br />