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Environmental Health Department <br /> . —COUNTY- <br /> - Greatness grays !sere. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: O 1 Inspector: 11 CONSTRUCTION <br /> Facility ddress: X3 2_2,3 5 . ArAa&n!% e_d <br /> Well Address: Total Depth: <br /> WP# 003nZ2 Well#: Drilling Rig Type: <br /> Soil Boring#: Z <br /> Min 2"Annular EHD Seal Verified:. El Yes ❑No <br /> Drilling Company: gtw� SSot�e '�S�Zw'c. Screen Length From: To: <br /> Driller Onsite: 14-"$10 <br /> Filter Pack From: To: <br /> Consultant: <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 <br /> d <br /> SAMPLING ABOVE-GROUND <br /> 3- 7 <br /> COLFL=Trara <br /> Holding Temperature: COW;ETtoN <br /> Method: Ground Surf." <br /> Screening Method: flrc <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> ft. <br /> SPOILS <br /> M <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: ) ta_f�; <br /> Depth to Water: — ' <br /> Grout Material: ✓ti,w{- &r•u- — MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used:-- Ltv C4 3o!%. —A24 <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation 5;B ring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Dover Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity 1[Vremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas 2,211 ons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 313% 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 /> 75 15 3 15 30 3 <br /> 10 20 4 20 40 4 2'5 H� ���� tit <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 I's 5 4,b -13(� `, <br /> 20 40 8 40 80 8 Zug c{z d 4- 4 /7 <br /> _ J 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sicehd.com <br />