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SAN.wJOAQUIN <br /> ,i` i•� COUNTY— <br /> K Environmel 1 Health Department <br /> — <br /> Greotness gra+vs here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:IV, Inspector:A CONSTRUCTION <br /> Facility 4j#ss: " <br /> Well Addre s: Total Depth: <br /> WP#, S(L —1-14 ? _Well#: Drilling Rig Type: <br /> Soil Boring#: o—I <br /> Drilling Company: f . - Min 2"Annular EHD Seal Verified: 11Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: i Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑'- Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> 7 <br /> SAMPLING 3 <br /> ABOVE-61RCUND <br /> Holding Temperature: cowLETION CHR.slSll 80X <br /> tE710 <br /> Method: oro;nd Sulacs <br /> Screening Method: o+ <br /> Verified Chain of Custody: ❑ Yes ONO T —ft- <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ONO = m <br /> If yes,spoils storage Location: <br /> sac.on <br /> Covered: ❑ Yes ONO <br /> If yes, material: <br /> x:JE <br /> GROUTING or DESTRUCTION Total Depth:Depth to Water: ft. tt. <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well.Destruction Blank Feet Screen Feet <br /> ❑ Slot Size:Boring Installation oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> �� Filter Pack Type/Size: <br /> EJ Gravity LJTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas Rall ons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> s 1 s 10 1 <br /> 5 Bentonite per 47 Ib 1.41 2.47 <br /> 7,.5 1 15 3 15 30 3 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 5 -i � <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 s0 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> ��? /610/16/2017 <br /> 1868 E. Hazelton Avenue Stockton California 95205 T 209 - <br /> 468 3420 1 F 209 464-0138 I, www.sicehd.com <br />