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H I'r Vj u ri w u I i t tnvtronmeln'Mi 666fM uePaMmehl <br /> —COUNTY— <br /> Greatness grows here. <br /> Monituring Well/Soil Boring Inspection Report <br /> Date: Inspector: L+� X CONSTRUCTION T <br /> Facility Address: <br /> Well Address: Total Depth: v*n' <br /> WP# 6o3kia2 Well#: Drilling Rig Type: -pa mcL .ma's <br /> Soil Boring#: ,�� {M > � <br /> Drilling Company: �yi�'L+..J � �{ _ Min 2"Annular EHD Seal Verified: LYYes ❑No <br /> Driller Onsite: (3 r;d,v. . (e,,� , �sr�,r+r`+�-eQV Screen Length From: "Lfi * To: 2/z'0Are% <br /> Consultant: <br /> Filter Pack From: 2Ar_SA To: <br /> Geologist: b�,,,� Bentonite From:R0°l�r To:� <br /> Grout From: a To: ?, . <br /> Public Water System Onsite: ❑ Yes ❑NoCOMPLETION K2/Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No <br /> casing <br /> If yes, location and distance: height <br /> SAMPLING ,Zavt-GROUND <br /> Holding Temperature: cc)?-FLETioN cOWLEoN <br /> Method: GrudrxdSwf 6--a — <br /> Screening Method: arc <br /> Verified Chain of Custody: ❑ Yes ❑Nom <br /> iz. <br /> SPOILS <br /> Contamination Noted: ❑Yes ❑No <br /> If yes, spoils storage Location: ;, - <br /> sa <br /> Covered. ❑Yes ❑No <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> Grout Material:_arAe C�•Vcr.l� <br /> Gallons of Grout Used: r gyp„ MATERIALS/DEVELOPMENT <br /> Casing Type: \e ci <br /> MSell Installation ❑Well Destruction Blank 'LGC Feet Screen Feet <br /> Slot Size: a zp <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: 't-5-b <br /> ❑Pressure Grout Dover Drill Type/Brand of Bentonite: Y0�0A%%&w'- c.�'Pi <br /> Filter Pack Type/Size: <br /> ❑ Gravity C�remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas 221111 ons BajZs <br /> Thickest Thinnest 4Bags Thickest Thinnest NBags Bentonite/Gement(Nix 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 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 f <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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T' 209 468-3420 1 F 209 464-0138 www.sicehd.com <br />