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SANA0A0UIN <br /> � . ((4 �� Environmental Health ®apartment <br /> ;4'•= J —COUNTY— <br /> •�-Oy4 $ Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report: <br /> Date; 2 24 Inspector: &L C Fir, CONSTRUCTION <br /> Facility Address; 7_30 cift.s&(al A P pon <br /> Well Address: Total Depth: <br /> WP#064522-f Well#: l0 10?• tilt 1131 Drilling Rig Type: <br /> Soil Boring#: 1241Q-51 1•u11%IF. <br /> Drilling Company: (Aaceade gnvt.«we r7ul l "44-to Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> DrillerOnsite: a,aa) A•TOS•e 4Screen Length From: To: <br /> Consultant: 4 gl" I kICA rrffih —to C. Filter Pack From: To: <br /> Geologist: (-"C� etnHe? 1v�41clwtat.t 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: nel.gte <br /> SAMPLING ABOYApDUNO <br /> Holding Temperature: C0 T1ON ciiM QV� <br /> Method: etaind$wfan <br /> Screening Method: prom <br /> Verified Chain of Custody: ❑Yes ❑NoN <br /> SPOILS — - <br /> y Q . <br /> Contamination Noted: ❑Yes FlNo c <br /> If yes,spoils storage Location: &to to <br /> Covered: ❑ oYes ❑N saeion _ <br /> If yes,material: w <br /> GROUTING-or-DESTRUCTION.Total Depth:. l$.!. all <br /> Depth to Water: Vl141 tt tr. <br /> Grout Material: Vi�Cewtewt' <br /> Gallons of Grout Used: ~Zt goo I 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 Dover Drill Type/Brand of Bentonite: <br /> Fllter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑other: Type of Method: <br /> Water Cement471b Water Cament941b <br /> Fail is Bags allans Sees <br /> Thickest Thinnest 0Bags Thickest Thinnest NBags •BentonitelCement Mix 131o°Mlx 5% Mix• <br /> z,5 5 1 s 10 1 Bentonite per 47lb 1 1.411 2.47 <br /> 10 2 10 20 2 Bentonito per 94lb 2.821 4.7 <br /> as 15 a is 80 B <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 a0 6 30 60 6 <br /> 17.5 as 7 35 70 7 <br /> 20 40 8 40 90 8 ' <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.slcehd.com <br />