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� & �]]OKOUYK] <br /> |� �}�@��yf�QU|�V E ~���Q0�����K ���@U�� ������mm�m� <br /> ��-coUNTY--- ' - ^ ^ Department <br /> ^'~ <br /> G, ome,, 9mvv, 6e,a <br /> Monitoring UVeU/CO'| Boring |DSp8Cf'On AeDO[ƒ <br /> Date: Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> � <br /> vv � Drilling Rig Type: <br /> Soil <br /> - Min2" Annu|urEHDSea|«�.a '~d' []Yes [ N <br /> oDhUinQCompany: <br /> DhUerOnsite: <br /> Screen Length From� To: <br /> Consultant: Filter Pack From� To: ________ <br /> Geologist: Bentonite From: To:________�_ <br /> Grout From: To: <br /> �— <br /> Public Water System Onsite' [] Yey []No <br /> ' COMPLETION [] Stove Pipe []ChristieBox <br /> Domestic Well Onsite: [] Yeo []No <br /> casing <br /> |fyes, location and distance: height ' <br /> SAMPLING o ' <br /> Holding Temperature: cmMP1ErIOm <br /> Method: <br /> Screening Method' grout ' <br /> Verified Chain ofCustody: [] Yes []No ' <br /> SPOILS ------' <br /> Contamination Noted: [] Yes []No T- ON <br /> !. - -"g <br /> /fye�spoils storage Location: l � <br /> �wu°u s <br /> � | <br /> Covered: [] Yes []NoQ-1A Pack <br /> -'--- / <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: ` ' <br /> Depth __-__'fc <br /> Grout Material: <br /> Gallons of Grout Used <br /> [asingType: <br /> []VVeU |nstaUabon []VVeUDestrucbon Blank Feet Screen Feet <br /> Slot Size: <br /> []Bohng|n�aUotionrV»ohn8Des�uodon � <br /> 7-- Bags ofCement: <br /> METHOD USED BaQsSand/Grave|: <br /> []PressureGrout [] Type/Brand ofBentonbe' <br /> OverDri|| � <br /> Filter PackType/Size: <br /> Gravity []Tremie []0ther: Type of Method: <br /> Water Cement 47 lb Water Cement 94 lb <br /> gallons B?R5 gallons Bags <br /> Thickest Thinnest 118ag5 Thickest Thinnest 4 Bags Benton itelCement Mil 3% Mix 5% Mix <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.821 4-7 <br /> E10 20 4 20 40 4 <br /> 10 <br /> 125 25 5 25 50 5 <br /> 115 <br /> 35 70 <br /> 17.5 35 7 =_7 <br /> 80 <br /> 1O/16/Z8I7 <br /> 1888E. Hazelton Avenue / Stockton, California S52O5 | T 209 468-3420 F 209 464-0138 / <br />