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° G SAN JOAQUIN <br /> 4�07 <br /> °o <br /> Environmental Health Department <br /> COUNTY--- <br /> °gtr�Fa v/ Greatness grows here. <br /> Greatness <br /> Boring Inspection Report <br /> Date:� h—�}� <br /> spector: � r'A / ' CONSTRUCTION <br /> Facility Addss: J5 <br /> Well Address: Total Depth: <br /> WP# 6 5 Well#: Drilling Rig Type: 3� <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Compan <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: ` QSlQ 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 /> SAMPLING ABCNE-GRWND <br /> Holding Temperature: CO&Ft.E7toN Er oN <br /> Method: G=ndSuf=* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No —`---n. <br /> K. <br /> ft. <br /> SPOILS - — <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: sla <br /> ttad <br /> secion <br /> Covered: ❑ Yes ❑NoVivell pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: L <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Used: <br /> Gallons of Grout Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation NBoring Destruction 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 ITremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas izallons Bags <br /> Thickest Thinnest ABags Thickest Thinnest VBags 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 is 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 1s 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> uJ 10/16/2017 <br /> 1868 E. Hazelton Avenue j Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.sicehd.com <br />