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paUW <br /> SAN JOAQUIN Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> 2 ` <br /> Date: II�N Inspector: CONSTRUCTION <br /> Facility Address: A <br /> Well Address: \6,Ltb C-(& Total Depth: <br /> WP# \SJQ 2-` kD, -,%'� Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: Q.i'f! �f1. <br /> Min 2"Annular EHD Seal Verified: El Yes El NO <br /> (fi <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: S„�V Yy� \A`��140 .0 Filter Pack From: To: <br /> Geologist: Q1Q�r4s1XgAe ` Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height . <br /> SAMPLING AE&FAROUNp g6ilyTl_TN <br /> Holding Temperature: COwp�T1cm coMaiFrioX <br /> Method: era;nd surlacs-�—�— <br /> Screening Method: Oran <br /> Verified Chain of Custody: ❑ Yes ❑Noft• <br /> SPOILS <br /> K e <br /> Contamination Noted: ❑Yes ❑No <br /> .. .� <br /> If yes,spoils storage Location: �lon�a e.: = <br /> � . <br /> Covered: El Yes El No si6on gmva>� <br /> If yes,material: t <br /> GROUTING or DESTRUCTION Total Depth: S = <br /> Depth to Water: w (Dfo <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation f7Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout 00ver Drill Type/Brand of Bentonite: <br /> qqq Filter Pack Type/Size: <br /> ❑ Gravity I.tiTremie []Other: Type of Method: <br /> Water 'Cement 47lb Water Cement 941b <br /> Ilons Bags allons BaRs <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bent02e/Cement Mix 3% Mix 5% Mtx_ <br /> 2.5 5 1 5 10 1 Bentonite per 47lb 1 1.41 2,47 <br /> 5 20 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 i5 3 15 30 3 - <br /> 10 20 4 20 40 4 <br /> 12.5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 W 7 35 70 7 <br /> 20 40 a 40 a0 a <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 96205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />