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SAN 10AQUIN Environmental Health Department <br /> ---COUNTY---- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 2 7 20 Inspector: i r CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: �S <br /> WP# Oo L{0385 Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: S(aAw <br /> Driller Onsite: P-010 Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: I) i 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 El No casing <br /> If yes, location and distance: T height <br /> SAMPLING ,ABOVE-GROUND CHRI.M-BOX <br /> Holding Temperature: COMPLETION COMPLETION <br /> Ground Surface <br /> Method: <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No —n; <br /> tt. _ <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El No = m <br /> C <br /> If yes, spoils storage Location: .toted <br /> aac'on <br /> Covered: ❑ Yes ❑No _ �,,,�palck <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: K = ` <br /> tt. tt <br /> Depth to Water: 120r <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: <br /> []Well Installation ]Well 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 NTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> allons Ba s allons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest Bentonite/Cement Mix 3% MIX 5% MIX <br /> 2.5 s 1 s 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 io 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 8 <br /> 12�Af W 6 N Ab( 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />