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SAN JOAQUIN Environmental Health Department <br /> J _ —COUNTY— <br /> ``cSc FonN/ Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: r Ap� <br /> CONSTRUCTION <br /> Facility Address:_ I M 4�6 , ) <br /> Well Address: !"�(oTotal Depth: ' vJWP#. Q> 4o� ll#•We Sy Drilling Rig Type. 1_1 /� µ Z `td <br /> Soil Boring#: fi MW 2 40 in 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: 5 <br /> Screen Length From To: <br /> Driller Onsite: v MW q 12 <br /> 1 Filter Pack From:_ To:_, <br /> Consultant: 1 <br /> �. ,, � tonite From: o: <br /> Geologist: r, <br /> rout From: To: <br /> AW-s W44 A <br /> Public Water System Onsite: ❑ Yes N�yo It 5"COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No caging <br /> If yes, location and distance: <br /> c}tBu+( height�1 <br /> 9 t lI 4ltL T 1 <br /> SAMPLING AMVE-GROUND CHM ,.gpX <br /> Holding Temperature: COWPLETION COMPLEnON <br /> Around Suiacs <br /> Method: <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �n, <br /> tt. _ <br /> SPOILS m . <br /> Contamination Noted: ❑ Yes ❑No _ <br /> If yes,spoils storage Location: stottad <br /> sac�on <' = <br /> Covered: El Yes ❑No " = Q,,,IW pack <br /> If yes, material: _ <br /> _GROUTING or DESTRUCTION Total Depth: � S '• = '• <br /> ft. ft. <br /> Depth to Water: z <br /> Grout Material: N —1' `' f+ � MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: C 4s Casing Type: <br /> ❑ ❑Well Installation Well Destruction Zr Blank Feet. Screen Feet <br /> � <br /> Slot Size: <br /> ❑Boring Installatio14Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑ ?(C <br /> Pressure Grout ver Drill Filter Pack Type/Size: <br /> ❑ Gravity IKTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags eall s Bags <br /> Thickest Thinnest #Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5% 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 is 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 2 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 35 70 7 <br /> 20 40 40 80 8 <br /> 10/16/2017 <br /> MW.3 c ollgsej- 1a Z�s` �sJ PjeQ,�,Q- re- 0 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.s'cehd.com <br />