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SANi-J0A0UIN <br />_ .' —COUNTY— <br />. <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Inspector: CONSTRUCTION <br />Facility Address: 1,co\ P LZIpl <br />Well Address: < Total Depth: <br />WP# Well#: Drilling Rig Type: <br />Soil Boring#:_&S Min 2" Annular EHD Seal Verified: <br />Drilling Company: <br />❑ Yes ❑No <br />Driller Onsite: 1st Screen Length <br />From: <br />To: <br />Consultant: \X 41- Filter Pack <br />From: <br />To: <br />Geologist: U N-, • Bentonite <br />From: <br />To: <br />Grout <br />From: <br />To: <br />Public Water System Onsite <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />GROUTING or DESTRUCTION Total Depth:_ <br />Depth to Water: \� <br />Grout Material: N F� c crs>uS��J C <br />Gallons of Grout Used: 550'®a <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation /Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity /Tremie ❑Other: <br />Water <br />Cement 471b <br />Bas <br />Water <br />allons <br />Cement 941b <br />Baps <br />-gallons <br />Thickest Thinnest <br />ttBags <br />Thickest Thinnest <br />#Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 1 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />tL <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Type of Method: <br />ft. <br />Screen Feet <br />Bentonite/Cement Mix 3% Mix 12�4 <br />Bentonite per 47 Ib 1.41Bentonite per 94 Ib 2.82 <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />