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SKJOAQUIN <br /> Environmental Health Department <br /> —COUNTY <br /> 1 icy„r i <br /> Greatness grows here. <br /> / Monitoring Well/Soil Boring Inspection Report <br /> Date: l U+ 23 7q Inspector: 5L`5�y,c ` CONSTRUCTION <br /> Facility Address:- _77/\-,— >T <br /> Well Add r ss Total Depth: <br /> WP#oo () Well#: Drilling Rig Type: <br /> Soil Boring#: -2 <br /> Drilling Company: ;( 14+ Min 2"Annular EHD Seal Verified: E] Yes ❑No <br /> Driller Onsite: C aK.e� Screen Length From: To: <br /> Consultant: (n/U� c e- — LK( /I SJOI,i4-�S Filter Pack From: To: <br /> Geologist:— e� fl <br /> t/ d Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: T height <br /> --cw, <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: cowPLE'rJON CccmPLEnooN <br /> Method: Ground Surface <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> N ft. <br /> ft. <br /> SPOILS <br /> — w a <br /> 0 <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: <br /> slotted = _ <br /> &aeon <br /> Covered: ❑ Yes El No <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: A011V <br /> Grout Material: o f C2/Le'V4 MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 1 =3 t 7• Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation�oring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> )(Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas allons Bags <br /> Thickest Thinnest 41 Bags Thickest Thinnest V Bags Bentonite/Gement 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 10 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 1 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />