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SAWN; AQ U I N Environmental Health Department <br /> —COUNTY <br /> G-eoMe;s ��a,is !;ere. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 5�� 1 �Z'� Inspector: J "ti/�t1�►�l CONSTRUCTION <br /> Facility Address: 'L20� � ^�-jJ TS"�° <br /> Well Address: Total Depth: <br /> WP# 00' 2 o L_57 Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: >°/1 �""�+ %�, Z e rc ►y Min 2"Annular EHD Seal Verified: 11 Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> s <br /> Consultant: 5U(�r, To: <br /> 2,^�5��we� ✓'� <br /> Filter Pack From: <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 El No casing <br /> If yes, location and distance: height <br /> SAMPLING AWVS-6ROUND <br /> Holding Temperature: COLFLEMN CCOMP�LETiOON <br /> Method: c3=ndSLwtac. <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes El No �tt. <br /> ft. <br /> ft. <br /> SPOILS _ <br /> 'F <br /> Contamination Noted: El Yes El No _ <br /> If yes,spoils storage Location: .tea - <br /> Covered: ❑ Yes ❑No <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: ^-f!0 ft. — tt- <br /> Grout Material: 1A e�C.2 rke—^^'t— <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ring 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 /> ElGravity Tremie ❑Other: Type of Method: <br /> Water Cement 47lb Water Cement 94 lb <br /> gallons Bas gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest 9Bags Bentonite/CFement Mix 3% MIX 5% MIX <br /> --------- -- ----------- <br /> 2.5 s 1 1 5 10 1 Bentonite per 47 Ib 1.4'1 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 t <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 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 1 www.sicehd.com <br />