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SAN JOAQUIN <br /> Environmental Health Department <br /> � _•- <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 61611 / Inspector:10`- C / - CONSTRUCTION <br /> Facility Address: <br /> Well Address: -1 S( 5 S • L_&AO S � Total Depth: <br /> WP# 00 � 0 WWell#: I Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2" Annular EHD Seal Verified: El Yes 11 No <br /> Drilling Company: <br /> Driller Onsite: `SoP 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 ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COt"P�ION CC&4P�tEnON <br /> Method: G=nd Surface <br /> Screening Method: ori <br /> Verified Chain of Custody: ❑ Yes ❑No —n• <br /> ft. <br /> ft. <br /> SPOILS <br /> k — � <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes,spoils storage Location: <br /> stoned = <br /> aac9on — B <br /> Covered: ❑ Yes ❑No M = t <br /> ack <br /> If yes, material: 1 <br /> GROUTING or DESTRUCTION Total Depth: 1 © 7 __ <br /> Depth to Water: M _ n- <br /> Grout Material: ,I�r+� t7� Z S �) MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: G a 4 U OJ Casing Type: <br /> Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity �6Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons 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 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 1 25 5 25 50 5h i " <br /> 15 30 6 30 60 6 ✓ (At Well r iso abs) uI <br /> 17.5 35 7 35 70 7 / <br /> 2 1 40 8 40 80 8 r/ In <br /> aC ���fffJJJ 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 />