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SAN JOAQUIN Environmental Health Department <br /> _.COUNTY <br /> of", Greatness grows here. <br /> 01-10"W <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: Ti��Io, /J,QCONSTRUCTION <br /> Facility Address: 1 '5o0 <br /> Well Address: Total Depth: �S� it <br /> WP# 0 fl Well#: Drilling Rig Type: <br /> Soil Boring#: F6 I <br /> Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: e,� ,PX All <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: C 7T C'e'- Filter Pack From: To: <br /> Geologist: tWL.2e, I 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: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: cot��ri°N ccoe��iEnoN <br /> Method: Ground Surf=*"+ <br /> Screening Method: or�- <br /> Verified Chain of Custody: ❑ Yes El No n' <br /> ft. <br /> tt. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No =` <br /> If yes, spoils storage Location: sbtt�d <br /> aeon <br /> y: <br /> Covered: El Yes ❑No _ cm.-Wpak <br /> If yes, material: = _ <br /> GROUTING or DESTRUCTION Total Depth: � IFIF <br /> Depth to Water: n- n' <br /> Grout Material: -Pia <br /> Gallons of Grout Used: ^� p MATERIALS/DEVELOPMENT <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 Filter Pack Type/Size: <br /> ❑ Gravity )(Tremie ❑Other: Type of Method: <br /> Water Cemen 471b Water Cement 94 lb <br /> allons Bag gallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest uBags Bentonite/Cement MIX 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 4 20 40 4 �f /O� ( _ ( w 4D I rl 3ee&-�J� <br /> 12.5 25 5 25 50 5 i/V�'+ --�(� <br /> 15 30 7 30 60 7 co r /_ d—S <br /> 17.5 35 7 35 70 7 w ,�/p•y •�. <br /> 20 40 8 40 80 8IOUdw/- / I L - <br /> / �/(�(fes VVr/J �al ton J0�16/��CT. <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 46 0138 1 www.sicehd.com <br />