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SANOAQUINO <br /> 1Environmets HealthDepartment <br /> COUNTY— <br /> Greatness <br /> OUNTY—Gr. atness rgrovvs Ferc <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1 ZW Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: 1 Total Depth: <br /> WP#�31$2!� ell#: Drilling Rig Type: <br /> Soil Boring#:A rGT �.,GL� •, , c- N-3. <br /> �. - ' a • Min 2"Annular EHD Seal Verified: ElYes El No <br /> ®Screen Length From: To: <br /> Filter Pack From: To: <br /> Geologist: k0l t� Bentonite From: To: <br /> ftj''�uG� Nr4rQb tZ ®c.\\ Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑P& COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: night <br /> SAMPLING <br /> vE.&IMND CHRIST*-sox <br /> Holding Temperature: COWLEi'IAN COMPLE3iON <br /> Method: Ground Surface <br /> Screening Method: n pram <br /> Verified Chain of Custody: ❑ Yes ❑No • <br /> M <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No = p <br /> If yes,spoils storage Location: <br /> slatted <br /> =_ <br /> Covered: EJYes ElNo soman9-f Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: - <br /> Grout Material: N 21S MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 0 '40 t C15 Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Gravity XTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest NBags Thickest Thinnest ltBags 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 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 6 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />