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SAN JOAQUIN Environmental Health Department <br /> COUNTY- <br /> 6 realness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: I Z y�Inspectocr•�: CONSTRUCTION <br /> Facility Address: � JO <br /> Well Address: `o Total Depth: <br /> WPff "7-LL4)c)cf& Wellff: 17 Drilling Rig Type: <br /> Soil Boringfi: Z '7 G 29/ Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: Ter.".o r-b <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: 1P11 _ hL, Filter Pack From: To: <br /> Geologist: (tK Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO —r casing <br /> If yes, location and distance: IIF height <br /> SAMPLING ABOVEGROUND <br /> CohgLETION OHRISTETION <br /> Holding Temperature: COMPLETION <br /> Method: around suiao. <br /> Screening Method: grant <br /> Verified Chain of Custody: ❑ Yes ❑Nci <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No ° <br /> If yes,spoils storage Location: 4lonad ? =_ s <br /> sac7on L'r' = 8 <br /> Covered: ❑Yes ❑No <br /> If yes, material: — gn <br /> __ .. <br /> GROUTING or DESTRUCTION Total Depth: 2�3 <br /> Depth to Water: <br /> Grout Material: elf. L"V0)["1*. MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 5 <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 ;11� H. � Bags Sand/Gravel: <br /> ❑Pressure Grout Dover Drill 31y / Type/Brand of Bentonite: <br /> 3l`l, 1+rs x�' Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie Bother: Type of Method: <br /> Water r6ent471b Water Cement 941b <br /> allons r Bags gallcns Bags <br /> Thickest Thinnest ags Thickest Thinnest 48agz Bentonite/Cement Mix 3"/a MIX 5% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 - f <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 B 40 so 6 <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 />