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U'", JOA <br /> SAN.�JOAQUIN <br /> S Y— Environmental Health Department <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Dater Inspector: <br /> lsakhryplf CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP# 72 Well#: Drilling Rig Type: NS <br /> Soil Boring#: 13 <br /> Drilling Company: _(it Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Driller Onsite: c76Pi Screen Length From: To: <br /> Consultant: S k �-440CIALd Filter Pack From: To: <br /> Geologist: �S9101 .�j&yll 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 <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION CCC#APLETION <br /> Method: Ground Surfaas <br /> Screening Method: n <br /> M. Qrout <br /> Verified Chain of Custody: ❑ Yes ❑No �---n' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No =" <br /> - C <br /> If yes, spoils storage Location: atone ; _ B <br /> — <br /> Covered: ❑ Yes El No = t., +P.-K <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: n• .� n' <br /> Grout Material: ALeg t z4krl <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring InstallationBoring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water emt b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest Jt Bags Bentonite/Cement Mix 3% Mix S% Mix <br /> 2.5 5 1 5 10 1 Bentonfte per 47 Ib 1.41 2.47 <br /> s 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 1 15 30 3 <br /> 10 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 735 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 />