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SAN JOAQUIN <br /> Environmental Health Department <br /> COU NTY--- <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 511AL-24 Inspector: 5.8,u Ct-1 CONSTRUCTION <br /> Premise Address: 999q 6. Awsrit4 -ems. ►A&m5-fC& <br /> WP#: W2,240 t 1.74 Total Depth: <br /> Well#: Drilling Rig Type: <br /> Soil Boring#: )pT. <br /> Min 2"Annular Sea Verified: ❑ Yes ❑No <br /> Drilling Company: t�et�rzcc,�� Screen Length From: To: <br /> Driller Onsite: 7oer- Anntaa.Z Filter Pack From: To: <br /> Consultant: Crt c)*!. mac. <br /> Geologist: Ev-"AN T)-K,'C.Ee Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes El No COMPLETION El Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No asing <br /> If yes, location and distance: lielght <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: GOWPL.�T10N �t_E-ioN <br /> Method: P=nd Sufac. <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> ft. <br /> ft. <br /> SPOILS = _ <br /> _ a <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes, spoils storage Location: stored = <br /> s�c5an - <br /> Covered: ❑ Yes ❑No <br /> go V4 Pack <br /> If yes, material: - <br /> ,r - <br /> GROUTING or DESTRUCTION Total Depth: s-I O ar _ <br /> Depth to Water: ft• ft- <br /> Grout Material: 1>ntZTLANb Cc1,,.Et4T ►y?E it <br /> MATERIALS/DE VE OPMENT <br /> Gallons of Grout Used: G I. i r At_ Casing Type: <br /> ❑Well Installation []Well Destruction Blank F et Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Woring Destruction Bags of Cement: t r <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Be tonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Si e: <br /> ❑ Gravity jig.Tremie ❑Other: Type of Method: <br /> Water Cement 471b water Cement 941b <br /> allons Bags ggallons Bags <br /> Thickest Thinnest .1 Bags Thickest Thinnest 4Bags <br /> 2.5 5 1 5 10 1 Bentonite/ ement Mix 3% Mix 5% Mix <br /> 5 10 2 10 20 2 Bentonite p r 47 lb 1.41 2.47 <br /> 7.5 15 3 i5 30 3 <br /> 10 20 4 20 40 4 Bentonite p r 94 lb 2.82 4.7 <br /> 12.5 25 5 25 50 5 <br /> i5 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 a 40 80 a <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 IF 209 464-0138 1 www.sjcehd.com <br />