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; SAKJOAQUIN <br /> COUNTY— <br /> Greatness groes here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 124 I lA Inspector: K.Saetern CONSTRUCTION <br /> Facility Address:23sasb 5. iacLy*a R-d <br /> Well Address: Total Depth: <br /> WP#- 0j)40!) cGi; Well#: Drilling Rig Type: 1.*4" <br /> Soil Boring#: 03 , oq8 GPT Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> Drilling Company: yean '-D Ak?n'n <br /> Driller Onsite: G►ey-y a� Ei Yq2 Screen Length From: To: <br /> Consultant: Y)Onfetder Filter Pack From: To: <br /> Geologist: ASVoly-A 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 <br /> casing <br /> If yes, location and distance: height <br /> SAMPLING <br /> .18OVAOLItdD CN8iv'�'`:'-80K <br /> Holding Temperature: caWLETuOiu e��a <br /> Method: GmUndsorracs + <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes ❑No fr. <br /> tt. <br /> SPOILS " <br /> Contamination Noted: <br /> El Yes ❑No ^ <br /> a c s0 <br /> If yes,spoils storage Location: .2 <br /> stoned <br /> - = <br /> Covered: ❑ Yes ❑No <br /> If yes, material: - •• ' <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water:-25f}, 25;-1- 33' fe tt. <br /> Grout Material: t4gt cemer,* MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: A I" as <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Size: <br /> ❑Boring Installation 6�lBoring Destruction Bags Slot Siziz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity [Wremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bags a[Ions BaRs <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags BentoniteXement Mix 3%Mix §% Mix <br /> 2.5 5 1 s l0 1 Eientonite per 47 Ib 1.41 2.47 <br /> . 10 10 250 <br /> 0 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 d25 <br /> 3 , <br /> 10 20 4 4 <br /> 12.5 25 5 5 <br /> 15 30 6 17.5 35 7 20 40 8 8 <br /> t'�N n- 9 N\ 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />