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SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY- <br /> - Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:D'�y •-'0-3 Inspector: A496e—^ CONSTRUCTION <br /> Facility Address: 32 30/V ef/.tq /ant <br /> Well Addre;s: Total Depth: <br /> WP# 00 Y`/7e 6 Well#: Drilling Rig Type: <br /> Soil Boring#: / yam Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: �Cu <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: /L) 4 we 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•GROUND <br /> Co&FLETION CETIO <br /> Holding Temperature: cotdatOMPLFrioN <br /> Method: Ground S <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> —tt• — <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No g//2,, q7 5' ° = y`. <br /> If yes,spoils storage Location: I�' <br /> 5�r �w�ron = 8 <br /> Covered: El Yes ❑No <br /> /fhf — graval Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> Grout Material: AtdEee MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: /Z- 7iz 5s*/ S <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 kremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags aallans Bags <br /> Thickest Thinnest #Bags 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 1 Bentonite per 94 lb 2821 47 <br /> 15 3 15 0 3 <br /> 10 4 <br /> 10 20 4 20 0 4 <br /> 12.5 25 5 25 50 5 <br /> 17.5 40 8 1 40 0 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 />