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SANAAQUIN <br /> <br />COUNTY- - <br /> Environmei I Health Department <br />\ / Greatness grows here <br />Monitoring Well/Soil Boring Inspection Report <br />Date: folZoii 1 <br />Facility Address: S-2-0 <br />Well Address: <br />Inspector: 1-4),- kai-A) <br />t-7 1 <br /> <br />WP# Well#: <br />Soil Boring#: 9) sl ) AC1 <br />Drilling Company: E.,...m.v..4krt,v...c.vkiAA <br />Driller Onsite: <br />Consultant: ?..e.e..s <br />Geologist: —ce,v,"..1 <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2” Annular EHD Seal Verified: <br />111 Yes ON° <br />Screen Length From: <br /> <br />To: <br />Filter Pack From: <br /> <br />To: <br />Bentonite From: <br /> <br />To: <br />Grout From: To: <br />Public Water System Onsite: L Yes ON° COMPLETION LI Stove Pipe EIChristie Box <br /> <br />Domestic Well Onsite: LI Yes 0No <br />If yes, location and distance: <br />casing <br />height <br /> <br />SAMPLING <br />Holding Temperature: <br />Method: <br /> <br />ABOVE-GROUND <br />COMPLETION <br /> <br />CHRISTY-BOX <br />COMPLETION <br /> <br />Ground Surface <br /> <br />Screening Method: <br />Verified Chain of Custody: 111 Yes ON° <br />SPOILS <br />Contamination Noted: 1=1 Yes ON° <br />If yes, spoils storage Location: <br />Covered: 0 Yes ON° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: AV <br />Grout Material: Needs- <br />Gallons of Grout Used: 140 ygni1„,5 24 _ <br />0Well Installation 1‘ell Destruction <br />OBoring Installation El Boring Destruction <br />METHOD USED <br />EPressure Grout 13Ker Drill <br />0 Gravity EllTremie 1110ther: <br />Water <br />gallons <br />cement 471b <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest #Bags Thickest Thinnest #Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 s 25 50 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 247 <br />Bentonite per 94 lb 2.82 4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com