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SAN.,JOAQUIN <br /> Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: /-5'' Inspector: CONSTRUCTION <br /> Facility Address: 37�W✓ /ft�p,�w ��'� <br /> Well Address: Total Depth: <br /> WP# CV lie, 3 gS' Well#: Drilling Rig Type: <br /> Soil Boring#: �`'�"�"7 <br /> ►9w� �,,z�'y Min 2"Annular EHD Seal Verified: El Yes El No <br /> Drilling Company: <br /> Driller Onsite: &e),6 S/e✓�C Screen Length From: To: <br /> Consultant: 055,0 Filter Pack From: To: <br /> Geologist: 2-x'q'(vo1" LlI( q Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-61ROUNn <br /> COkSPLETlON c�catsri�-aox ' <br /> Holding Temperature: C.QWLETON <br /> Method: GrwndSwfaas"+ _ <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No n' <br /> fi. <br /> SPOILS — <br /> X�E-- a . <br /> Contamination Noted: ❑ Yes El No r: r <br /> If yes, spoils storage Location: if Wotwd = --- <br /> 1✓L1i a 2 30 r sac�an , '— <br /> Covered: El Yes ❑Nol3r = , P-k <br /> If yes, material: 44w,. <br /> GROUTING or DESTRUCTION Total Depth: Z��' jt M+�'7 <br /> Depth to Water: <br /> Grout Material: N <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation 14Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity M�remie ❑Other: Type of Method: <br /> er Ce Il Water Cement 94lb <br /> s Ba allons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% MIX 5% Mix <br /> 2.5 s 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 l � <br /> 10 zo a zo ao a -7 bads lc7il2i pY-,')kt" <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 Aze) MIX <br /> 17.5 35 7 35 70 7 ,n <br /> 20 40 8 40 80 a <br /> #0 d 3V ,fc► /�a4.,�.f . ,,,cc(il• ar(c(u� � 1OJ16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.smcehd.com <br />