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SAN<<JOAQUIN ta <br /> � vi ronmatB Health ®apartment <br /> —COUNTY— <br /> P9;_,efaF° Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Dater Inspector: 1 ^ CONSTRUCTION <br /> Facil4A d*re : r <br /> Well Address: Total Depth: <br /> WP#F '00 3 Well#: Drilling Rig Type: <br /> Soil Boring#: S't o' o e.S1 to <br /> Drilling Company: eMin 2"Annular EHD Seal Verified: ❑ Yes ONO <br /> S�1 Screen Length From: To: <br /> Driller Onsite: SZ-S/ <br /> Consultanz-(b1 Filter Pack From: To: <br /> Geologist- Bentonite From: To: <br /> L G s�•I l�Grout From: To: <br /> Public Water Sys em Onsite: lJ Yes El 563—COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: � height <br /> SAMPLING ABOVE-GROUND <br /> COWLEr10N COMPLETION <br /> Holding Temperature: COMPLETION <br /> Method: O wnasunx. <br /> Screening Method: crop <br /> Verified Chain of Custody: ❑ Yes ❑Nott. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No _ <br /> If yes,spoils storage Location: <br /> slatted <br /> Covered: ❑ Yes ONO <br /> gmvW Pads <br /> If yes, material: �! <br /> GROUTING or DESTRUCTION Total Depth: 5� /S _ <br /> Depth to Water: tt. 21 ft. <br /> Grout Material: <br /> Qallons of Grout Use MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Weell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Wo-ring Destruction Slot Size: <br /> 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 /> 1�1, ravity QTremie ❑Other: Type of Method: <br /> Water Cement 4714 Water Cement 94 lb <br /> Ilons Bas gallons Bags <br /> Thickest Thinnest kBags Thickest Thinnest usaes Bentonite/Cement Mix 3% Mix 5°/a 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 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 'i <br /> 30 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 3570 7 <br /> 20 40 8 40 8o 8 <br /> �-'�1 /� •�� 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 />