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COUNTY AN - 10AOUIN <br /> Doperrr>nc�nt <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �q,Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP# ��� qj Well#: Drilling Rig Type: <br /> Soil Boring#: �T „ <br /> Drilling Company: t <br /> Min 2 Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: �� Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: (_���L�-5'Cn'Q R ` 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 c wssrr-eox <br /> Holding Temperature: � f°� GCMPLEtoM <br /> Method: G'nd Ste''" <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft- <br /> ft. <br /> SPOILS til. <br /> Contamination Noted: ❑ Yes ❑No y — <br /> If yes, spoils storage Location: <br /> slotted r: <br /> sec�on aY <br /> Covered: ❑ Yes ❑No _= . <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: Q_A9- —ft• "" _ n• <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bags Rallons 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 in 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 1 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 35 70 7 <br /> 20 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 www.s'cehd.com <br />