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cv- �<o <br /> N<�((,'�°�=- SAN . JOAQUIN <br /> t11 F-1� Environmental Health Department <br /> COUNTY— <br /> Greatness grows here <br /> �1, Monitoring Well/Soil Boring Inspection Report <br /> Date:Q V� l�r�-0inspector: CONSTRUCTION <br /> Facility Address: I (,W N4Pt4s, Po( nba-+Oh <br /> Well Address: _ Total Depth: <br /> WP# "A0,07, Well#: Drilling Rig Type: <br /> Soil Boring#: 2 9 <br /> Drilling Company: K, Ur PIa,��.UhMin 2" Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: l� f ip Y Screen Length From: To: <br /> Consultant: j-}' — � ` Filter Pack From: To: <br /> Bentonite From: To: <br /> Geologist: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes 11 No casing <br /> If yes, location and distance: height <br /> SA M D L I N G ABOVE-G RCUND ___ <br /> Hold ng Temperature: COMPLETION COMPtFTICN <br /> Method: G=nd Sufacs <br /> Screening Method: groul <br /> Verified Chain of Custody: ❑ Yes El No �fl. <br /> ft. <br /> tt. <br /> SPOI_S <br /> Contamination Noted: ❑ Yes ❑No = r <br /> If yes, spoils storage Location: stotwd <br /> a cn <br /> Covered: ❑ Yes ❑No <br /> gra-W Pack <br /> If yes, material: =_ <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation koring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grouter❑Over Drill Filter Pack Type/Size: <br /> ElGravity Llflremie ❑Other: Type of Method: <br /> Water 6 moment 471b Water Cement 941b <br /> allons Bas gall ons Bags <br /> Thickest Thinnestgs Thickest Thinnest "Bags 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 25 50 5 <br /> 15 30 J61 60 6 <br /> 17.5 35 35 70 7 <br /> 20 40 8 40 80 1 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sicehd.com <br />