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J;Hn4JuHuullr Environmental Health Department <br /> 'I -` `` —COUNTY— <br /> , <br /> Greatness grows here. <br /> Mon <br /> itoring Well/Soil Boring Inspection Report <br /> Date: Inspector:Inspector: CONSTRUCTION <br /> Facility Address: 6,599 Ind• ra��' f�n� �� <br /> Well Address: �TrL;�J Total Depth: <br /> WP# O Well#: Drilling Rig Type: <br /> Soil Boring#: JO Min 2"Annular END Seal Verified: El Yes ❑No <br /> Drilling Company: "frG � j 12 <br /> Driller Onsite: 0 r - Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: ft Is. r4� CL.."/q 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 /> T <br /> SAMPLING ,>taovE-GRocnaD <br /> Holding Temperature: �°s���ON COMPLETION <br /> Method: Grodnd Sulacv <br /> Screening Method: cry <br /> Verified Chain of Custody: ❑Yes ❑Nott. <br /> f3. <br /> tt. <br /> SPOILS _ . <br /> •4K � p <br /> Contamination Noted: ❑Yes ❑No <br /> If yes,spoils storage Location: :tor.�d <br /> Covered: ❑ Yes ❑No <br /> If yes, material: . <br /> GROUTING or DESTRUCT N Total Depth: OAPPrIt <br /> — <br /> Depth to Water: n• <br /> Grout Material: �;+Ia,J CP-meted <br /> Gallons of Grout Used: `' 2tk}_Qo(��,i, MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation <br /> 50Boring Destruction gags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity VTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bags waill ons Bads <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags BentonitefCement Mix 3% Mix 5%Mix <br /> 2.5 5 1 5 18 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.821 4.7 <br /> 0 4 15 15 30 3 <br /> 1 <br /> 1 20 4 20 40 4 <br /> 12,.5 25 5 25 50 5 �J <br /> 15 30 6 30 60 6 <br /> 35 35 7 <br /> 20 8 a0 <br /> 20 40 9 40 80 8 rU, <br /> 10/16/2017 <br /> 1368 E. Hazelton Avenue 1 Stockton,Callomia 95205 17 209 46&3420 I F 269 464-0138 1 www.sicehd.com <br />