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pu�N C <br /> °" °? SAN JOAQUIN <br /> N Environmental Health Department <br /> COUNTY— <br /> w°�IFD Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:I[ Aq& Inspector: / CONSTRUCTION <br /> Facility ddress: B O D <br /> Well Address: Total Depth: <br /> WP# 00 q 0 Well#: Drilling Rig Type: / // ✓� T� <br /> Soil Boring#: f6 I <br /> Drilling Company: Min 2"Annular EHD Seal Verified: ❑ Yes 111 No <br /> Driller Onsite: 4A444 <br /> Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: iD441 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: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONFLE ION coun�oN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �tt. <br /> ft. <br /> ft. <br /> SPOILS - <br /> ?:' <br /> Contamination Noted: ❑ Yes E]No <br /> If yes, spoils storage Location: sfottad c.= <br /> 8�=Jon — 3 <br /> Covered: ❑ Yes ❑No =' <br /> gravel pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: __ <br /> Depth to Water: ✓xad rb ^' �S —Ljn- <br /> Grout Material: <br /> Z MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring InstallationBoring Destruction Bags of Cement: <br /> METHOD USED // Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity I�Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest 1t Bags Thickest Thinnest It 6395 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 8 40 80 8 <br /> Ati � 10/16/2017 <br /> 1868 E. Hazelton Avenue I ""Sttoockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />