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�cb"2 SANrJOAQUIN <br /> Environmental Health Department-COUNTY-Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: (OZ� Inspector: W0-- /4-- CONSTRUCTION <br /> Facility dd 2� 5 g / ari Ad <br /> d <br /> Well Address: Total Depth: <br /> WP# 2 25 Well#: Drilling Rig Type: <br /> Soil Boring#: — 40 5 <br /> Drilling Company: Min 2"Annular EHD Seal Verified: 1:1 Yes El No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: So q Filter Pack From: To: <br /> Geologist: D✓✓1 <br /> 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: T height <br /> 5,1— _QW-T <br /> SAMPLING ABOVE-GROUND _ <br /> Holding Temperature: COWLETION COMP�L.EMN <br /> Method: G=ndSuriace ' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes E]No �_ft. <br /> ft. <br /> -ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes E]No <br /> If yes, spoils storage Location:_ 00 sbned <br /> s*cton <br /> Covered: Yes ❑No r = 9—W Pack <br /> If yes, material: 5'�Q�l vYl <br /> GROUTING or DESTRUCTION Total��D++e the S© f"� C-4 EE1 <br /> Depth to Water: I- _PT ft Ift. <br /> Grout Material: <br /> Used: 1- MATERIALS/DEVELOPMENT <br /> Gallons of Grout Us <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installationoring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity IATremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Ba gallons Bags <br /> Thickest Thinnest .1 Bags Thickest Thinnest tlBags Bentonite/Cement Mix 3% Mix 55%Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 so 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 B 40 80 8 <br /> }O tO 6s 10/16/2017 <br /> 1868�,>4 <br /> . Hazelton Avenue tockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sicehd.com <br />