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t. <br /> SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Et-z Inspector: /lKsff:O- CONSTRUCTION <br /> Facility Address: C-dL- t1 oud <br /> Well Address: / Total Depth: <br /> WP# IV 7- 00031 Well#: blw- In Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: 621094s1 <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: i ei- 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: t,aigne <br /> SAMPLING ABOVE-GROUND <br /> COWLETION COMPLEnoN <br /> Holding Temperature: cotnptETioN <br /> Method: ground suiaas <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ONO H. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ONO " <br /> If yes,spoils storage Location: ' <br /> 41o11nd <br /> wcdon <br /> Covered: ❑Yes ONO — Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: t/31 = •. <br /> Depth to Water: <br /> Grout Material: <br /> Gallons of Grout Used: G MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation E]Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation koring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout Dover Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity V.Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 9411a <br /> allons Bags eallons Bags _ <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5%MIX <br /> 2s 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 7.5 15 3 15 30 3 Bentonite per 94 lb 1 2.821 4.7 <br /> 1 <br /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 1 35 7 35 20 <br /> 20 40 3 40 80 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />