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SAN J U A U U I N Environmental Health Department <br /> COUNTY--- <br /> °qka�' Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: =ZZ Inspector: Jam' CONSTRUCTION <br /> Facility Address: 173-S-0 q49 ut�e / <br /> Well Address: Total Depth: <br /> WP#may 941Y Well#: Drilling Rig Type: <br /> Soil Boring#: /,3-oi Min 2" Annular EHD Seal Verified: ❑ Yes []No <br /> Drilling Company: ;off o(.14 A�tk� <br /> Driller Onsite: 7.k Screen Length From: To: <br /> /1< Filter Pack From: To: <br /> Consultant: <br /> Geologist: ,L7�Sj� Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION CONIP�LET1oN <br /> Method: G=nd Surface <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑ Yes El No �tt' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: El Yes ❑No = e <br /> If yes, spoils storage Location: atonal <br /> sac.cn <br /> Covered: ❑ Yes ❑No = t <br /> ack <br /> If yes, material: x <br /> GROUTING or DESTRUCTION Total Depth: 6 _ <br /> Depth to Water: /3 n• tt- <br /> Grout Material: NIet <br /> Gallons of Grout Used: ;,- r/,�,r�/s���•s- MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ,,�� Slot Size: <br /> ❑Boring Installation L!SBoring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grou/Tremie <br /> ver Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> gallons Bas gall ons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% 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 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 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />