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SAN JOAQUIN <br /> f Environmental Health Department <br /> `j -- COUNTY _. <br /> �c'gCIFOPµi�P'F GrLutness grows her,:' <br /> Monitoring Well/Soil Boring Inspection Report <br /> DateC� <br /> 1 GW Inspector: 1 0. CONSTRUCTION <br /> Facility Address:�22) . 14 <br /> Well Address: Total Depth: <br /> WP#�(�4 �_ 6 Well#: ���d75 Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: ��'� Min 2" Annular EHD Seal Verified: El Yes El No <br /> Screen Length From: To: <br /> Driller Onsite: i0i l Filter Pack g From: To: <br /> Consultant: C 4 -ec- <br /> Geologist: �Q��--;✓t Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING A8ovE-G RCUNo <br /> Holding Temperature: COWLETION CiOMPLEMN <br /> Method: °ram°Surface �— <br /> Screening Method: groLn <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> ft. <br /> -ft. Ilk <br /> SPOILS <br /> v � c <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> (l rgl� a�c:en <br /> Covered: El Yes ❑No I,XE�"�" _ R,,,sWpook <br /> If yes, material: _ <br /> 1 _ <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: YT O ft ft' <br /> Grout Material: <br /> � I r3D�► O✓1 MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation Xwell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED I V t 5� Bags Sand/Gravel: <br /> V Type/Brand of Bentonite: <br /> ❑Pressure Groutpver Drill <br /> Filter Pack Type/Size: <br /> Gravity �Tremie o 00ther: Type of Method: <br /> Water Ceme 711 Water Cement 941b <br /> allons Ba qallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 9Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 s 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 1 <br /> 1 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 1 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 s <br /> 15 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 20 40 8 1 40 80 8 <br /> ti go A Zo KK11 kt <br /> c 10/16/2017 <br /> 1868 E. Hazelton Avenue Stb'ckton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />