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"�� SAN JOAQUIN <br /> �� Environmental Health Department <br /> �"I R_:. COUNTY __.. . <br /> °99 `j/ Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> r G �7,, <br /> DateJ !�7�D Inspector: C, 1 ' CONSTRUCTION <br /> Facility Address: 560- �;(,A✓� " <br /> � � -�3�1: l�-s.�`f <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: — S Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: SDGf <br /> Driller Onsite: ✓ Screen Length From: To: <br /> Consultant: O 0'-W <br /> Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes E]No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes 1:1 No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: 00I6F�TrON �v noN <br /> Method: G=ndSu=* <br /> Screening Method: ar«ut <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> it. <br /> tt. <br /> SPOILS 4 <br /> = o <br /> Contamination Noted: ❑ Yes ❑No 15 a: <br /> If yes, spoils storage Location: to t sbttod <br /> �Z aKJon <br /> y _ <br /> Covered: ❑ Yes ❑No <br /> IJ 3:l O , = crew+pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: F3S y5 _ <br /> Depth to Water: <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation .Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Gravity f8(Trem ❑Other: Type of Method: <br /> Water Cement 71b Water Cement 941b <br /> allons Bag gallons Bags <br /> Thickest Thinnest pBags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 3% 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 B 40 80 8 <br /> /s /o� �-l�), 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />