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SAN J OA Q U I N Environmental Health Department <br /> L" —COUNTY <br /> , c9CIFORjP r Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 2 I Inspector: E`�►`-`'v -CL CONSTRUCTION <br /> Facility ddress: (gSCJ PD r fiDt�{Z�"' <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: \JA <br /> Driller Onsite: ��q,V� Screen Length From: To: <br /> Consultant: j 2 Filter Pack From: To: <br /> Geologist: Iln^ 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 ❑No casing <br /> If yes, location and distance: height <br /> ### 7 <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COAFt.ET)ON CMTI <br /> OPLEON <br /> Method: G=nd Sumacs <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑ Yes El No �---n' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: sbd — <br /> aacdon '— B <br /> Covered: ❑ Yes ❑No <br /> Q-vw Pack <br /> If yes, material: <br /> r <br /> GROUTING or DESTRUCTION Total Depth: 0 t'[ . —EE <br /> to Water: <br /> ft. ft- <br /> Grout Material: M eat C eVYIQ <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation'pBoring 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 Z ,Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas ealions Bags <br /> Thickest Thinnest NBags Thickest Thinnest #Bags Bentonite/Cement Mix 3% 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 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 (� <br /> 1 20 4 20 40 4 ! I <br /> 12.. 61 )o 6t)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 /> 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 />