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10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 J www.slcehd.gom <br />CI Yes ON° Contamination Noted: <br />If yes, spoils storage Location: <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 317-(e /IX Inspector: Le" )(4.,ye..1/ CONSTRUCTION <br />Facility Address: 511 s <br />Well Address: <br />WP# 0032Qt1 <br />Soil Boring#: hiarampt <br />Drilling Company: Gu-L-F Cr • t.s, <br />Driller Onsite: RAJA koffi <br />Consultant: <br />Geologist: vv% <br />Well#:v_y_rjrx"-fq <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: El Yes ONo <br />SPOILS <br />Covered: El Yes ON° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: t <br />Depth to Water: I k <br />Grout Material: el.e,,* <br />Gallons of Grout Used: "0 toe '13 J <br />I:Well Installation ell Destruction <br />El Boring Installation El Boring Destruction <br />METHOD USED <br />ID Stove Pipe El Christie Box <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />El Pressure Grout 120ver Drill <br />U14-avity Wremie ClOther: <br />water Cem ent 47W Water Cement 94W <br />gallons Bags gallons 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 a <br />10 20 4 20 40 4 <br />115 25 5 '25 RI 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 00 8 <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 />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular END Seal Verified: GI Yes ON° <br />To: <br />To: <br />To: <br />To: <br />0 Yes ON° <br />0 Yes ON° <br />clasing <br />height <br />iteZvE-dRourap <br />comPLE-noN <br />COMPLETION <br />SAN JOAQUIN <br />, <br />: <br />, -. •1 COUNTY- - <br />t;ricitness grows here <br />Envrorarnenta eafth Deparitnieffit <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: