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SAN JOAQUIN Environmental Health Department <br /> COUNTY_._._. <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: I F" -' 20Z')Inspector:7D0"r;0` A CONSTRUCTION <br /> Facility Address: 3��9 9 S. I�yS�I� <br /> Well Address: Total Depth: <br /> WP# 00904 Well#: Drilling Rig Type: GP7 :75 1 k, . <br /> Soil Boring#: C ? I — <br /> �i c��0�1�'� Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: �td0•� Screen Length From: To: <br /> Consultant: S Qpm L, Filter Pack From: To: <br /> Geologist: ; Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes E-1 No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWPLETION enoN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No -�--tt' <br /> tt. <br /> SPOILS CPT$ tt. <br /> 01Q/ w <br /> Contamination Noted: El Yes ❑No I I / <br /> If yes, spoils storage Location: 2 20 / slotted = B <br /> aeon <br /> Covered: ❑ Yes ❑No 3 I — <br /> �, is _ �w� <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:oc 7�7n g 4. <br /> Depth to Water:— 120 21 pf CPT <br /> Grout Material: so <br /> s�MgTERIALS/DEVELOPMENT <br /> Gallons of Grout Used:---j-0 q <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 /> [:]Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> �b L�rs �S�sj 7-9 Filter Pack Type/Size: <br /> L Gravity NTremie ❑Other: Type of Method: <br /> Water Cement 71b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest 11 Bags Thickest Thinnest 4Bags 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 /> G �0,I Q .6 b ajS 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 />