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�rMI VMwul'" tnvir®nmentai rgaaftn uepdfrMent —COUNTY— Greotness Grows here. Monitoring Well/Soil Boring Inspection Report Date: f11/1� I Inspector: I," CONSTRUCTION Facility Address: -J-6,,,,- 1.1d Well Address: Total Depth: WP# z23rello Well#: Drilling Rig Type: Soil Boring#: p%,o2� D iw,per ��1gs1," 4 Z'Sts f' Drilling Company: Vd OY-4 11 Min 2„Annular EHD Seal Verified: ❑ Yes ❑No Driller Onsite: Screen Length From: To: Consultant: "4 I[ („ Filter Pack From: To: Geologist: S,es.,yS Bentonite From: To: Grout From: To: Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box Domestic Well Onsite: ❑Yes ❑No aa-Ing If yes, location and distance: height SAMPLINGavc-�rtour� Holding Temperature: �hPLET}ON ccoaf`-.ON Method: GravndSU12C*�► Screening Method: grout Verified Chain of Custody: ❑ Yes ❑No 's iE. SPOILS = Contamination Noted: ❑ Yes ❑No - — e If yes, spoils storage Location: r Covered: ❑Yes ❑No If yes, material: R GROUTING or DESTRUCTION Total Depth: _ Depth to Water: t) Grout Material: ATERIALS/DEVELOPMENT Gallons of Grout Used: mit !CA-ft.,s-A; 0-m-14.0% I,% Itzte y Casing Type: ❑Well Installation ❑Well Destruction 10�c' Blank Feet Screen Feet Slot Size: ❑Boring Installation LKoring Destruction Bags iz Cement: METHOD USED Bags Sand/Gravel: ❑Pressure Grout Dover Drill Type/Brand of Bentonite: Filter Pack Type/Size: CXGr vitt' ❑Tremie ❑Other: Type of Method: Water Cement 471b Water Cement 941b gallons Bas all ns Bags Thickest Thinnest kBags Thickest Thinnest t#Bags Bentonite/Cement Mix 30% Mix 5% Mix 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 5 10' 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 7.5 15 3 15 30 3 10 20 4 20 40 4 12.5 25 5 25 50 5 15 30 6 30 so 17.5 35 7 35 70 7 J �� 1S /1SvJ 1—I f f 20 40 8 40 00 8 1868 E. Hazelton Avenue I Stockton, California 95205 1 T' 209468-34201 F 209464-0138 1 www.slcehd.com