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SAN JOAQUIN Environmental Health Department <br /> —C.OU NTY— <br /> Greatness grows he;e. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: IO 5 �� Inspector: �QA� CONSTRUCTION <br /> Facility Address: <br /> Well Address: Z'400O\ 11 �A�,a�, Total Depth: <br /> WP# Well#:�_ Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: 1:1 Yes ❑No <br /> Drilling Company: �4cw 9'(1.&,U,WA <br /> Driller Onsite: Wfs,�� Screen Length From: To: <br /> Filter Pack From: To: <br /> Consultant: <br /> Geologist: 'SAJ Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No doing <br /> If yes, location and distance: height <br /> SAMPLING A&CYE_GRC tUND tS71'-BOX <br /> Holding Temperature: ��' 'u�rati COaWLETiON <br /> Method: Grwnd Sutaas'+ <br /> Screening Method: grant <br /> Verified Chain of Custody: ❑ Yes ❑No - ft. <br /> ft. <br /> SPOILS <br /> w <br /> Contamination Noted: ❑ Yes El No ,= r <br /> If yes,spoils storage Location: - <br /> aatdon <br /> Covered: ❑ Yes ❑No <br /> If yes, material: '` <br /> Pack <br /> GROUTING or DESTRUCTION Total Depth: 2iQ�� . <br /> Depth to Water: <br /> JL <br /> Grout Material: k���"K <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> III Slot Size: <br /> ❑Boring Installation Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas Rall ons Bags <br /> Thickest Thinnest Bags Thickest Thinnest 4 Ba4j Bentonite/Cement Mix 3% MIX 5%Mix <br /> 2.5 s 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 a <br /> 1 20 4 20 40 4 <br /> 12..5 25 5 25 50 5 <br /> 15 30 6 30 60 6 \ l <br /> , <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 209 464-0138 1 www.sicehd.com <br />