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S A N J O A Q U I N Environmental Health Department <br /> ---COUNTY-- . <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: II 2�, Inspector: CONSTRUCTION <br /> Facility Address: HO (0. <br /> Well Address: 2%. 002Q5, Total Depth: <br /> WP# 2( 0()?'q5 Well#: Drilling Rig Type: <br /> Soil Boring#: Z w — t V5 . 6N 'Z 6 Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: _1rft JI <br /> Driller Onsite: Uj Screen Length From: To: <br /> Consultant: Pf(-Cc d i Filter Pack From: To: <br /> Geologist: r� aye 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: ==[ T height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION COMPLETION <br /> Method: GroundS"rfa" _T <br /> Screening Method: grout <br /> Verified Chain of Custody: ElYes ElNo ft. <br /> ft. <br /> ft. <br /> SPOILS _ — <br /> _ a <br /> Contamination Noted: ❑ Yes ❑No <br /> _ <br /> If yes, spoils storage Location: stort� _ <br /> soon _ 2 <br /> Covered: ❑ Yes ❑No <br /> wmvig Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 4ol 01 _= <br /> Depth to Water: <br /> ft. ft. <br /> Grout Material: N&t- L e <br /> Gallons of Grout Used: -(�50� !ti( MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation4Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED 314 Bags Sand/Gravel: <br /> ❑Pressure Grout []Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity aTremie ❑Other: Type of Method: <br /> Water ce ent 471b Water Cement 941b <br /> gallons Bags gallons Bags <br /> Thickest Thinnest #Ba Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 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 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 1 6 <br /> 17.5 1 35 1 7 35 1 70 7 <br /> 20 1 40 8 40 1 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.s6cehd.com <br />