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,'pj3UINS A N J O AQ U I N Environmental Health Department <br /> --COUNTY-- <br /> `c9tiFowNFi Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: lw 2020 Inspector: /VaS`'°"'--� CONSTRUCTION <br /> Facility Address: 375— u• ?V4"f All <br /> Well Address: Total Depth: <br /> WP# eV 40,395 Well#: M -a/1���i Drilling Rig Type: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: C-194 ��°��'`'�1 Screen Length From: To: <br /> Driller Onsite: j36'6 Filter Pack From: To: <br /> Consultant: ✓aa ! � `�""'�'� <br /> Bentonite From: To: <br /> Geologist: Jae r`� `" <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 ct-s»s5 43OX <br /> Holding Temperature: COtrP�JON compt.>=noN <br /> c3couna surface <br /> Method: <br /> groutScreening Method: <br /> Verified Chain of Custody: ❑ Yes []No tt, <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> — o <br /> If yes, spoils storage Location: .tonQd <br /> U6 sac5an _ <br /> Covered: ❑ Yes ❑No t/V = g-vespack <br /> If yes, material: ' ?t - <br /> GROUTING or DESTRUCTION Total Depth: W <br /> tt. <br /> Depth to Water: a'Z2-r tt. <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: <br /> ❑Well Installation C9/ell 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 CKremie ❑Other: <br /> Type of Method: <br /> Mit­ <br /> ce Water Cement 941b <br /> Ba s allons Ba s <br /> p8ags Thickest Thinnest ✓✓Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> z 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 / C Q�p Fd 6e ^eel- <br /> 12,5 25 5 25 50 ecne- d <br /> 15 30 6 30 60 6 ° 1 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 Z wo <br /> i j 0 'Z ®r=+°, 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sucehd.com <br />