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SAN JOAQUIN <br /> Environmental Health Department <br /> --COUNTY <br /> '%�t„co+`` Greatness grouts here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: a CONSTRUCTION <br /> Facility A ress: f'a <br /> Well Address: Total Depth: <br /> WP# 114Q)135 Well#: Drilling Rig Type: <br /> Soil Boring#: Vamp 'L <br /> Drilling Company: Min 2"Annular EHD Seal Verified: El Yes LINO <br /> Driller Onsite: powor Screen Length From: To: <br /> Consultant: `r 4` Filter Pack From: To: <br /> Geologist: Ift Ml Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ONO COMPLETION ❑ Stove Pipe El Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑NO - r casing <br /> If yes,location and distance; ♦?t-_� height <br /> SAMPLING ABOVEGROUND <br /> COMPLETION COMPLETIO <br /> Holding Temperature: corna�TioN <br /> Method: G=nd s atac. -+ <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ONO ft. <br /> —n. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location:. <br /> Come! _ 8 <br /> sac5on = — <br /> Covered: ❑ Yes El No <br /> :1 g"Velpack <br /> If yes, material: • = <br /> GROUTING or DESTRUCTION Total Depth: , <br /> Depth to Water: <br /> Grout Material: - MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: LM <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 ❑Tremie ❑Other: Type of Method: <br /> Water ent 471b Water Cement 941b <br /> allons ea s Rallons Bags _ <br /> Thickest Thinnest gs Thickest Thinnest 4 Bags Bentonitelcement Mix 3%MIX 5%M1X <br /> 2.5 5 1 5 10 1 1 Bentonite per 47 lb 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 1s 30 6 30 60 6 <br /> 17.5 35 7 35 70 1 7 <br /> 20 40 B 40 so 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 />