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SAN JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ltd 31 Inspector: CONSTRUCTION <br /> Facility Address: 711 <br /> Well Address: Total Depth: <br /> WP#MMN4+ Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: ]�1� ��a5 <br /> Driller Onsite: Screen Length From: To: <br /> „N D <br /> Consultant: Filter Pack From: To: <br /> —S <br /> g <br /> Geolo ist: V-,_},/� Jtnw+) Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes rANo COMPLETION ❑ Stove Pipe []Christie Box <br /> SAb LY._1�0,0 «K w� 4 <br /> Domestic Well Onsite: ❑ Yes $Vo casing <br /> If yes, location and distance: height <br /> 77 <br /> SAMPLING ,�.�RC)UNQ <br /> Holding Temperature: CJMPLE MN C-aaWLEriON <br /> Method: G=ndSastaas. + <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes ❑No ft. <br /> t <br /> fit. t. <br /> SPOILS . <br /> Contamination Noted: ❑ Yes ❑No ` <br /> If yes,spoils storage Location: slattaa .__ <br /> ssc;on �@ <br /> Covered: ❑ Yes El Noj�i __ ,,,,t <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: �,'0- 50 . <br /> Depth to Water: '1,1-- <br /> 8. IF S <br /> Grout Material: ViAct <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout []Over Drill Filter Pack Type/Size: <br /> ❑ Gravity ba I'Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Gement Mix 3% Mix 55%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 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 />