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`= ' SANsJOAQU�N <br /> s.:. % Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> I Monitoring Well/Soil Boring Inspection Report <br /> Zl <br /> Date: a Inspector: 1A CONSTRUCTION <br /> Facility Address: 00 ^ <br /> Well Address: Total Depth: <br /> WP#ZX4 2(r Well#: --7 / 3 Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes 11 No <br /> Drilling Company: (26ee <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Cp f'1 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: height <br /> SAMPLING AWVE-GROUND <br /> Holding Temperature: CO1F'LEf1ON CHRCOMP�LfiTiiON <br /> Method: arodrid surixs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No .L.�ft- <br /> tt. <br /> SPOILS ft• ' _ <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: <br /> fN1'Y[V Vi <br /> aacaon ; <br /> Covered: Mes ❑No — <br /> If yes, material: <br /> GROUTING or DESTRUCTION T tal Depth: 30 ) <br /> Depth to Water: V/)) toit, ft- <br /> Grout Material: ��'"� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used- "- - i-e <br /> Casing Type: <br /> ❑Well Installation ell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> �� Filter Pack Type/Size: <br /> Gravity I?�'remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Ba allons Bags <br /> Thickest Thinnest it Bags Thickest Thinnest BBags Bentonite/Gement Mix_ 3% Mix 5% Mix <br /> 2.5 5 1 s is 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />