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SAN�IOAQ NTY— <br /> UIN <br /> l <br /> ° Environmental Health DepartmentCOU <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Z ,AA <br /> Inspector: ' CONSTRUCTION <br /> Facility Address: SC,,C i 5.4iv oard l y4xs, <br /> Well Address: j Total Depth: 55' <br /> u <br /> WPN((f074�(� Well#: Wily-J Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: N rrll1164 <br /> Driller Onsite: W1c lt-1 e Screen Length From: To: 255, <br /> Consultant: I�S% Alsi2ainli Filter Pack From: 35, To: -5NI <br /> F it entone From: 3� To: <br /> Geologist: d'fuln B <br /> Grout From: A I To: S.4 CC <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 <br /> CowLET10N COMPLE BOX <br /> Holding Temperature: con4v1ET1oN � <br /> Method: c3round Su lace—r— <br /> Screening Method: groan <br /> Verified Chain of Custody: ❑ Yes ❑Noe• <br /> ft. <br /> SPOILS R = <br /> Contamination Noted: El Yes ❑No <br /> If yes,spoils storage Location: <br /> alottae 8 <br /> ssc9on } <br /> Covered: ❑Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: Ze11 <br /> Depth to Water: N!h R• — TM <br /> Grout Material: V1etik ct4N1w*1 1.y/$%ilodt�c�,rf+ MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: M CjCA I g yP ?VC- QcjCK <br /> Caain T e: <br /> Well installation ❑Well Destruction Blank 35 % Feet Screen 2.01 Feet <br /> ❑Boring Installation ❑ Slot Size: 4koBoring Destruction Bags of Cement: V-1- %go"'5 <br /> METHOD USED Bags Sand/Gravel: lligemlS <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: wub Ao em 2lowdS <br /> Filter Pack Type/Size: <br /> 04ravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> stations Bags sailors Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest aBags BentontfelCennent MIX 3% MIX 5% Mix <br /> 2.5 5 1 5 10 1 1 Bentonite per47lb 1 1.41 2.47 <br /> s 10 2 10 20 2 1 Bentonite per 94 lb 1 2.621 4.7 <br /> 7.5 1s 3 15 30 3 <br /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 35 30 6 30 60 6 <br /> 17.5 35 7 35 70 ) <br /> 20 40 8 40 00 B <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.s4cehd.com <br />