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SAN JUAUUIN Environmental Health ®apartment <br /> —COUNTY <br /> Greatness grows here. <br /> v� Monitoring Well/Soil Boring Inspection Report <br /> Date:'1,1. SW.S•l� spector: CONSTRUCTION <br /> Facility Address: �Ab <br /> Well Address: Total Depth: <br /> WP# w. `l kbb1,11 Well#: Drilling Rig Type: <br /> Soil Boring#: M I g <br /> Drilling Company: Ch o j�!� N(& Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: A.&&VAI bblL.. Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 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 T_ <br /> SAMPLING IN <br /> 80VE-0ROUND T <br /> COMPLETION CHAI5IY-BOX <br /> Holding Temperature: COMPLETION <br /> Method: GmndScxi ° 7 <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No 1 tt <br /> tt. <br /> ._tt. <br /> SPOILS — <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: €` <br /> �a <br /> �bttod = <br /> s4cion ., <br /> Covered: ❑ Yes ❑No __ Imvwvack <br /> If yes, material: _— <br /> GROUTING or DESTRUCTION Total Depth: Z1b _ •. <br /> Depth to Water:_ 1 2 <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> El Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Pressure Grout ❑Over Drill Type/Brand of Bentoriite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> allons Bags allons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags BentonitelCement Mix 3%MIX 5% MIX <br /> 25 s 10 1 Bentonite per471b 7.41 2.47 <br /> s w 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> IS 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 s0 5 <br /> 1s 30 6 30 60 6 <br /> 17.5 95 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> nnn ncn nnn^ I r nnn nnA ndn° : ......._:__u __� <br />