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SAWMAQUIN <br /> Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Z Z Inspector: CONSTRUCTION <br /> Facility A dress:Dp 1-41 AAO <br /> Well Address: Total Depth: <br /> WP# Z� Well#: Drilling Rig Type: <br /> Soil Boring#:- — <br /> Drilling Company: Q. Min 2"Annular EHD Seal Verified: ❑Yes El No <br /> Cnn\\�►L>t•4, <br /> Driller Onsite: Q1Yy�(j r Screen Length From: To: <br /> Consultant: ALL r\V t %oYWW,yt,} <br /> Filter Pack From: To: <br /> Geologist: %is\\ 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: I� height <br /> SAMPLING AWvE-GROUND �X <br /> Holding Temperature: cciw LE'rnN COMPLETION <br /> Method: Grcuno Suiocv <br /> Screening Method: or«n <br /> Verified Chain of Custody: ❑ Yes ❑Nott' <br /> H. <br /> —ft, <br /> SPOILS _ <br /> o ' <br /> w <br /> Contamination Noted: ❑Yes ❑No _ <br /> If yes,spoils storage Location: 4knna - <br /> section $ <br /> Covered: ❑Yes ❑Noj = <br /> ynsrq vmr <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth: t 111 Gtt <br /> A <br /> Depth to Water: t n IF <br /> tt' <br /> Grout Material: klwlk Ptot&-� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 62W, <br /> �T2. O—I Casing Type: <br /> ❑Well Installation b.Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> lPressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity 54Tremie ❑Other: Type of Method: <br /> Water melt 4714 Water cement 94lb <br /> allons Be s gallons Bags <br /> Thickest Thinnest gs Thickest Thinnest 0 Bags _ BentonitelCement MIX 8%Mix 5%MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 io 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> z5 15 9 15 30 3 i <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 40 80 B <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-34201 F 209 464-0138 1 www.socehd.com <br />