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• _ °r"\GZ� SAN JOAQUIN <br /> � <br /> _ Environmental Health Department COUNTY <br /> Greatness grows here. <br /> �7 <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 2� � Inspector: r CONSTRUCTION <br /> Facility dd ess: 1950 u ff Ch-yv <br /> Well Address: Total Depth: <br /> WP# d Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: �� � � � Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: Y f S r Screen Length From: To: <br /> Consultant: Ckq e, In inee r Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING AWVE-GROUND <br /> Holding Temperature: COWPLETioN co�aPt�.l=rioN <br /> Method: Ground Suriaas <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No _L�ft. <br /> n. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No =` <br /> If yes, spoils storage Location: s>ottna <br /> saelon " <br /> Covered: ❑ Yes ❑No <br /> Z — ynvw pack <br /> If yes, material: (� <br /> GROUTING or DESTRUCTION Total Depth:.q� �{.of � , I CDR IFs <br /> Depth to Water: �-7 ft• n' <br /> Grout Material: yt MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used:_ Casing Type: <br /> e: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity NTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas Ralions Bags <br /> Thickest Thinnest kBags Thickest Thinnest »Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 s 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 15 30 3 <br /> 10 20 <br /> 20 40 4 <br /> 12. 25 �5 25 50 5 C -T ( '— 3 - <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 1 8 40 8o 8 C -T 3, <br /> -`a VV 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />