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SANJOAQUIN Environmental Health Department <br /> —COUNTY— <br /> Greatness <br /> COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: J 1 Z QZ4) Inspector: CONSTRUCTION <br /> Facility Address: 17-3U (.L/t(✓✓ o Ulf "W <br /> Well Address: Total Depth: <br /> WP# L)0 'k ti S,-b L Well#: Drilling Rig Type: <br /> Soil Boring#: IS l 7 (2 <br /> Min 2"Annular EHD Seal Verified: El Yes []No <br /> Drilling Company: rN <br /> Driller Onsite: QZFT � � Screen Length From: To: <br /> o& <br /> Consultant: AI�Gi?,� �' R.NOFip,BD� Filter Pack From: To: <br /> Geologist: yIAIJ- J � — <br /> Bentonite From: To: <br /> et <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes qNo COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑Yes oklo cawing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: comPLETiciN �ieriION <br /> Method: Caasnd Suface ,! <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft' <br /> it. <br /> ft. fir <br /> SPOILS <br /> a <br /> Contamination Noted: ❑Yes ❑No <br /> If yes,spoils storage Location: s�tisd <br /> Covered: ❑ Yes ❑No <br /> g-ww Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: AU A n <br /> Grout Material: NI✓l /.-d�i+- MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: r 0 D Cil <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation koring Destruction 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 NTrerrlie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> gallons Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3%MIX 5%MIX <br /> 2.5 5 1 5 10 1 Bentonite per47 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 i <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 1 50 5 <br /> is 30 6 30 60 6 <br /> 17.5 35 7 35 1 70 7 <br /> 20 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sicehd.com <br />