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SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1 I ZJ I Inspector: 0our CONSTRUCTION <br /> Facility Address: rf L4111 <br /> Well Address: Total Depth: <br /> WP# 00,681513 n <br /> Drilling Company: Well#- Drilling Rig Type: <br /> Soil Boring#: 3 9 7 Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> I rr h C' <br /> Driller Onsite: VA 2 Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: L Y,-L- Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 19No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes 12No casing <br /> If yes, location and distance: W- T <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: co�sar�ro�a cON <br /> Method: Ground Suixs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �fl• <br /> ft. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> C <br /> If yes, spoils storage Location: �langd — <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: X(f l) <br /> Depth to Water: 111Z A ft ft <br /> Grout Material: Ce4ya* - MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: -f3a Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation*oring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie []other: Type of Method: <br /> Water Cern ent 471h Water Cement 941b <br /> allons Baas Rallo is Bads <br /> Thickest Thinnest 0 Bags Thickest Thinnest "Bags Bentonite/Cement Mix 3% Mix 3% 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 Ib 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 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 60 y4 La bpi 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />