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SAN JOAQUIN <br />COUNTY • <br /> Environmental Health Department <br />Greotness 9rows <br />Monitoring Well/Soil Boring Inspection Report <br />LI Yes EINo Verified Chain of Custody: <br />SPOILS <br />) <br />Date: --)/ I/ CO 1, I Inspector: k( <br />• <br />Facility Address: 2-00 I Es, Zokii. /1Vt <br />Well Address: <br />WP# OtAl 9-03 Well#: <br />Soil Boring#: <br />Drilling Company: rtie-5f (0:1-6'6" 67)19(0 6.--tib <br />Driller Onsite: <br />Consultant: CTE: Cod —1-5e1C,, <br />Geologist: 72.0 e.6.) <br />Public Water System Onsite: 1=1 Yes ON° <br />Domestic Well Onsite: LI Yes ON° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Contamination Noted: 1=I Yes ENo <br />If yes, spoils storage Location: <br />Covered: I=1 Yes LIN° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: Of-±, <br />Depth to Water: N/A" <br />Grout Material: AfttrarCerhiapvt— <br />Gallons of Grout Used: "---17" <br />11 Well Installation 111 Well Destruction <br />111 Boring Installation oring Destruction <br />METHOD USED <br />1E1Pressure Grout IDOver Drill <br />)‘ravity 1=ITremie 1=10ther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest tt Bags Thickest Thinnest .1 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 5 25 50 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 3 40 80 8 <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />COMPLETION LI Stove Pipe <br />casing <br />height <br />EIChristie Box <br />CHRSTi-BOX <br />COMPLETION <br />Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />ID Yes ON° <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <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 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />44 _rvtc, <br />Screening Method: <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 96205 I 1 209468-34201 F 209 464-0138 I www.sicehd.com