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SAN J 0 A 0 U I N <br /> Environmental Health Department <br /> COUNTY <br /> cgcr Greatness grows herr. <br /> I I Q Monitoring Well/Soil Boring Inspection Report <br /> Date:` ` l / Inspector: I / - CONSTRUCTION <br /> Facility Address: 1A0,00 W k <br /> Well Address: Total Depth: <br /> WP#00L(q 2(p Z Well#: Drilling Rig Type: <br /> Soil Boring#- Z-Z Min 2" Annular EHD Seal Verified: E] Yes El No <br /> Drilling Company: �� / <br /> Driller Onsite: — l` Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: b�'1 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: ilil <br /> height <br /> SAMPLING ABOVE GROUND <br /> Holding Temperature: COWPLErION CCAAI.PT oN <br /> Method: Ground surf"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> ft. <br /> ft. <br /> SPOILS <br /> f <br /> Contamination Noted: ❑ Yes El No <br /> Ac <br /> If yes, spoils storage Location: alcinad <br /> Covered: ❑ Yes 11 No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:_ <�(� <br /> Depth to Water: !/LD !�- n tt' <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 0 t1A <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Ll Boring Installation Boring Destruction Slot Size: <br /> 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 gTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas Rallons Bags <br /> Thickest Thinnest VBags Thickest Thinnest 1f 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 /> 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 l8 40 80 8 <br /> l� j Q 4 10 nj_ I �a�S 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sicehd.com <br />