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OppUlly^. <br /> SAN ,JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> `cgCrpon Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Z 3 �ZU Inspector: ,N c CONSTRUCTION <br /> Facility Address: ' So <br /> Well Address: Total Depth: ' /I /� j t� _ <br /> WP# 00 L` 3 $� Well#: My�'�Nn Drilling Rig Type: �.J/ t <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: l <br /> Screen Length From: To: <br /> Driller Onsite: � O Jgn <br /> Consultant: /� (—�� Filter Pack From: To: <br /> Geologist: 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 ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND CHRMW BoX <br /> H COMPLETION COMPLETION <br /> olding Temperature: <br /> Ground Suiac+ <br /> Method: <br /> Screening Method: orout <br /> Verified Chain of Custody: ❑ Yes ❑No ft; <br /> n. _ <br /> SPOILS <br /> A <br /> Contamination Noted: 4 Yes []No r: ._ • <br /> If yes, spoils storage Location: <br /> abttnd <br /> siCJon <br /> Covered: El Yes ❑No = Pack <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth: G7 L <br /> Depth to Water: I a� <br /> Grout Material: i �L & MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: I lkku S 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 /> ElGravity Tremie ❑Other: Type of Method: <br /> Water Ce ent 471b water Cement 94lb <br /> allons Ba s allons Ba s <br /> Thickest Thinnest »Bags Thickest Thinnest kBags 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 lb 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />