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SAN JOAQUIN Environmental Health Department _ <br /> COUNTY �4r /2 "Ij /��- <br /> "�,r, `• <br /> `'+ciE.00-,JS Greatness grows here. • 7a+� <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: -Zc .-2,zv Inspector: AS CONSTRUCTION <br /> Facility Address: 3'7�r <br /> Well Address: Total Depth: <br /> WP# Gty gees Well#: MY-1-2ct Drilling Rig Type: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes [I No <br /> Drilling Company: 5 Us <br /> Screen Length From: To: <br /> Driller Onsite: /xs <br /> Consultant: ��E� Filter Pack From: To: <br /> Geologist: %��„'�� 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 /> _EWT <br /> SAMPLING ABOVE-GROUND CHF MW43OX <br /> H COMPLETION COMPLETION <br /> Holding Temperature: <br /> Ground Sutlacs — <br /> Method: <br /> Screening Method: VZ1 °fO1t <br /> Verified Chain of Custody: ❑ Yes ❑No �h; <br /> tt. _ <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No >` <br /> If yes, spoils storage Location: xtotl2d <br /> sac�on <br /> Covered: ElYes El No _ = Q,,,,�Pacc <br /> If yes, material: ' <br /> GROUTING or DESTRUCTION Total Depth: V <br /> Depth to Water: -,1 'Z+ <br /> Grout Material: /VW4 e'P>!2! MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: <br /> ❑Well Installation 5AWell 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 310'ver Drill Filter Pack Type/Size: <br /> ❑ Gravity 2Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags eallans Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 Mi / Z� 3, `6 S" �v •- 3(6 � T hs el LI 1 b3 f c��rt w <br /> 12.5 25 5 25 50 5 (17 6 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 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 />