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SAN-JOAQUIN <br /> Environmental Health Department <br /> COUNTY— <br /> .: <br /> • `�.,fo;,a`>• Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: IS�y3 Inspector: N*t'sw CONSTRUCTION <br /> Facility Address: q'4n f, ctcrce /INl <br /> Well Address: Total Depth: /26d <br /> WP# co w/P Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: �' �IJ✓2S <br /> Driller fit' i Screen Length From: To: �� <br /> Consultant:_ u�iG 1��6 4 �1Qu�Nr Filter Pack From: To: t/J <br /> Geologist: Bentonite From: To: <br /> Grout From: To: 4��yepw+ <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: hes.ghe <br /> SAMPLING ABOVE-01FICUND <br /> COWLETION COMPLY-BOX <br /> Holding Temperature: cor.+rcErioN <br /> Method: Gnsund s <br /> Screening Method: owut <br /> Verified Chain of Custody: ❑Yes ❑No ft. <br /> n. <br /> —n — <br /> SPOILS <br /> Contamination Noted: ❑Yes ❑No ° <br /> If yes,spoils storage Location: started ,!' <br /> = B <br /> Covered: ❑Yes ❑No axtion 1 <br /> grav°I pack <br /> If yes, material: / =_ <br /> GROUTING or DESTRUCTION Total Depth: JzSa <br /> Depth to Water: <br /> Grout Material: - c l •c)S a MzX <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> 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 /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity XTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement941b <br /> allons Bags 2allons Bees <br /> Thickest Thinnest NBags Thickest Thinnest 9Bags 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 2.821 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 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />