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SAN JOAQUIN <br /> Environmental Health Department <br /> COUNTY— <br /> C', P� Greatness grows here <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: A CONSTRUCTION <br /> Facility Address: 22, C '�AIA <br /> Well Address: lL Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: ^� Min 2" Annular EHD Seal Verified: ❑ Yes 11 No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 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: IffT height <br /> SAMPLING ���I2 nscvE-GROUND <br /> Holding Temperature: s�, COMPLETION con,+P>� CN <br /> Method: GmundSurf"' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes 11 No �ft' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: i4Yes El No t = r <br /> If yes,spoils storage Location: Cu �C`�h(1�� <br /> Q) .btwa <br /> �� � = <br /> Covered: k Yes []No <br /> = �, <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 15 ZZt• _- <br /> Depth to Water: 1' ' k. ft' ft' <br /> Grout Material: CyYv*_ <br /> Gallons of Grout Used: !2Lj MATERIALS/DEVELOPMENT <br /> T Casing Type: <br /> ❑Well Installation ❑Well Destruction `'j9-` Blank Feet Screen Feet <br /> ❑Boring InstallationKBoring DestructionSlot Size: <br /> Bags of Cement: <br /> METHOD USED �C�yJ Bags Sand/Gravel: <br /> El Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> t4 Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall s Bas allons Bags <br /> Thickest Thinnest ABags 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 OA, 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 a 40 80 8- <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.coni <br />