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�Pa'u;N'•�, <br /> S A N J 0 AQ U I N Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: t-Z Z-Ze" Inspector: f,4.5,& — CONSTRUCTION <br /> Facility Address: 375 <br /> Well Address: Total Depth: <br /> WP# ZV `rC� 31 > Well#: DP6E-3, DPC-'—q Drilling Rig Type: 4�42 <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: 514; 1 t io t Lf - <br /> Driller Onsite: b ,2c.AltScreen Length From: To: <br /> ✓� � � F� t��- Filter Pack From: To: <br /> Consultant: <br /> Geologist: ��z1C Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND GHRMTY-BOX <br /> COWLE'rION cOMPLE-ncN <br /> Holding Temperature: <br /> Ground sumac. <br /> Method: <br /> Screening Method: gfIout <br /> Verified Chain of Custody: El Yes ❑No L�--ft, <br /> n. <br /> SPOILS :` = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: C��l'ZIr��L ' aloft" <br /> sacton <br /> Covered: ❑ Yes ❑No = 4nveiPxk <br /> If yes, material: a <br /> GROUTING or DESTRUCTION Total Depth: 4 )I �' <br /> Depth to Water: zu <br /> Grout Material: ^/t- ar e ey"f MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: <br /> ❑Well Installation 9<Vell 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 Filter Pack Type/Size: <br /> ❑ Gravity ffTremie ❑Other: Type of Method: <br /> Water Cement 471b water Cement 941b <br /> allons Bags eallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% MIX 5%MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 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 �,`x l� c, S� y Z6�Z`I 9�Lc 3 �s , N �i-t it Ls �t.•.,f� J�E 3 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 / <br /> ,5 35 7 35 <br /> 17 70 7 <br /> 2. 4o a 40 0 7 tr►�St 5,b,�, 2_bS ^ �`I �42� 3hats ci4A� V+ <br /> N,Lo 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sucehd.com <br />