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SANst-JOAQUIN <br /> j —COUNTY— Environmental Health Department <br /> d'�en„o Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: /2 inspector: CONSTRUCTION <br /> Facility Address: jqq ckrtb IgEPWn1 <br /> Well Address: 1j Total Depth: <br /> WP#COyS0 Z Well#: fABQ TV-3 Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: tt� t Min 2"Annular EHD Seal Verified: ❑ Yes El <br /> Driller Onsite: Aittetdcr Screen Length From: To: <br /> Consultant: FK Filter Pack From: To: <br /> Geologist: e O 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: � height <br /> SAMPLING ABOVE-GROUND <br /> CONPt.ETION COMPLETION <br /> Holding Temperature: cor,+r�erioN <br /> Method: a° ^°S da°' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No n. <br /> —n. <br /> n. <br /> SPOILS <br /> 7 <br /> 0 <br /> Contamination Noted: El Yes ❑No <br /> If yes,spoils storage Location: <br /> =o _ 8 <br /> Covered: ❑Yes ❑No a n v` <br /> grav"Pack <br /> If yes, material: <br /> q <br /> GROUTING or DESTRUCTION Total Depth: 2_1 <br /> Depth to Water: n. — tt. <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Al a- <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> 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 Ail�remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement941b <br /> allons Bags eallons -Ba s <br /> Thickest Thinnest 9Bags Thickest Thinnest 0Bags Bentonite/Cement MIX 3% MIX 5%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 1 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.s'cehd.com <br />