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SAN,:JOAQUIN <br /> Environmental Health Department <br /> —COUNTY= <br /> Greatness grows Frere" <br /> Monitoring Well/Soil Boring Inspection Report <br /> Z <br /> Date: ( Inspector: Jtt) Ck/ CONSTRUCTION <br /> Facility Address: 7 IJ -9.,V <br /> Well Address: Total Depth: <br /> WP# 0 0 Y Well#: Drilling Rig Type: <br /> Soil Boring#: 2 il 3 <br /> Drilling Company: r�3fi�-►� To_c G <br /> Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: '— Screen Length From: To: <br /> Consultant: V(ti�� C— r 155'a C, Filter Pack From: To: <br /> Geologist: 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 <br /> casing <br /> If yes, location and distance: height <br /> W— T <br /> SAMPLING AsovE-GRCUND <br /> x. <br /> Holding Temperature: CONFLEr10N COM _P�LE71oN <br /> Method: GroundSurfac* �— <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �ft- <br /> ts. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: sranna - - <br /> sac�en <br /> Covered: ❑ Yes El No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: ` — �yZ—to(� S" <br /> Depth to Water: ft. — tt- <br /> Grout Material: Tj ea& C e rke-n,,r' MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring I nsta Ilatio n.Wo ring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> []Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> 3 P �lCZ4,t- to Filter Pack Type/Size: <br /> gravity NTremie ❑Other: Type of Method. <br /> Water Cement 471b Water Cement 94 lb <br /> gallons Baps gallons Bags <br /> Thickest Thinnest ✓:Bags Thickest Thinnest 9Bags Bentonite/Gement Mix 3%. MIX 5%MIX <br /> z.s 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 z to zo zBentonite 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 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 B <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 />