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F`G SAN JOAQUIN <br /> � Environmental Health Department <br /> COUNTY <br /> t°'e1P' Greatness 9rows <br /> r <br /> �� ��,��� Monitoring Well/Soil Boring Inspection Report <br /> Date: 5ffl)1JI Ins ector: �, aV Qk) 4ONSTRUCTION <br /> Facility Address: Q "P <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: W° 2 "W-0 <br /> Drilling Company: Maui e <br /> Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: „ <br /> Filter Pack From: To: <br /> Geologist: `,u,K0- HEe 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: �17 T height —Ef W7F <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLS ON COMP=ON <br /> Method: around Sumacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ElYes El No -�--n' <br /> tt. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El No — <br /> If yes,spoils storage Location: slotted = - <br /> sscon — <br /> Covered: ❑ Yes El No <br /> If yes, material: x <br /> GROUTING or DESTRUCTION Total Depth: I� I—?5 CS�C�✓�loW� __ <br /> Depth to Water: �� I'� I' <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: ` Q <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 /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity 'ATremie Other: Ya&Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags eallow Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 12.5 25 5 25 50 5 1"bl�I <br /> 15 30 6 30 60 6 <br /> '205 40 8 40 80 8 �/V-13 1 2�', C-w — )1.5` , Z4 0 a l <br /> Wf- 1Z, M.5 Ir C-)w— lot I �0 0n10/16/2017 <br /> 11 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br /> �kw- III �Z.S'1 0w- 12_5 " ZU g 6 � <br />