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SAN--F OAQUIN Enviro11mei,. 'J H eafthDepartment <br /> COUNTY— <br /> Greatness <br /> COUNTY—Greatness grows here. <br /> (��qp <br /> Monitoring Well/Soil Boring Inspection Repoft <br /> Date: 1 lW Inspector: �wN CONSTRUCTION <br /> Facility Address: L-)Onl'Cj M�� <br /> Well Address: SkLA r-, ass Total Depth: 1 <br /> WP# ODA 10 5k3 Well#: Drilling Rig Type: <br /> Soil Boring#: j& \ - \10 <br /> Drilling Company: Q"A Q�p.�� Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: � Screen Length From: To: <br /> Consultant: u' � - Filter Pack From: To: <br /> Geologist: "SuS�S� Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe []Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: ns--fight <br /> —QwT <br /> SAMPLINGAWVE-dRC' ND <br /> COMPLETION c�r�M-Box <br /> Holding Temperature: comPLEnoN <br /> Method: cirotrndSutacv A <br /> Screening Method: eraurt <br /> Verified Chain of Custody: ❑ Yes ❑No ' <br /> �.n. - -- . <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes,spoils storage Location:S'"r� lwsLkca� <br /> S*Cdon <br /> Covered: lyes El No PaCk <br /> If yes, material: <br /> GROUTING or DESTRUCTIOTotal Depth: VOj r <br /> Depth to Water: <br /> Grout Material: N'*r –\ �k.M. � <br /> Gallons of Grout Used: MATERIALSJDEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ElBoring Installation oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity (((Tremie ❑Other: Type of Method: <br /> Water VCement 471b Water Cement 94 lb <br /> allons Bas gall ons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% MIX 5%MIX <br /> s 5 1 5 10 1 _Bentonite per 47 Ib 1.41 2.47 <br /> s 10 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 is 30 3 —i <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 s <br /> _ 15 30 6 30 60 6 <br /> 17.5 35 7 3s 70 7 <br /> 20 40 8 40 80 8 <br /> 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 />