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SAN-JOAQUIN Environmental Health Department <br /> - COUNTY---- <br /> \cqc Foa�ei Greatness grows here. <br /> MonitoringWell/Soil Boring Inspection Report <br /> Date:?,/L10 Ins ector: 4 - CONSTRUCTION <br /> Facility Address: S Du -ee—Well Address: Total Depth: � <br /> WP# ZS Well#: Drilling Rig Type: /'l(,t� �OS/ <br /> Soil Boring#: t— ;C7 Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: —C <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: i(M <br /> 7 Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height WT <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION �tFnw <br /> Method: Ground Surf"' <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> n. <br /> n. <br /> SPOILS k <br /> Contamination Noted: ❑ Yes ❑No ` <br /> If yes, spoils storage Location: atoned - <br /> sacdon y: <br /> Covered: ❑ Yes ❑No <br /> Gravel pad` <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 0 4• <br /> Depth to Water: w 7 Z tL Ir JL <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation XBoring Destruction <br /> 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 XTremie ❑Other: Type of Method: <br /> Water Cemen 4711 Water Cement 94lb <br /> allons Bas gallons Bags <br /> Thickest Thinnest trBags Thickest Thinnest >tBags Bentonite/Ceme IX 3°/ ix 5%MIX <br /> 2.5 5 1 5 10 1 Bentonite pe 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 4 40 80 8 <br /> LjO 5 J , 10/16/2017 <br /> 18668 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />