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_�;�;�_ <br />-c-� _ -���_ SAN���JOAQUIN <br />'� �' COUNTY <br />�_�� Gr��-Qir�rnss araLvs rIC'rc'. <br />Date: <br />Facilit <br />Well Address: <br />W P# �O <br />Soil Boring#: _� <br />Drilling Company: <br />Driller Onsite: <br />Consultant: _� <br />Geologist: �'Q <br />Environmental Health ®apartment <br />Monitoring Well/Soil Boring Inspection Report <br />r � <br />�� <br />. � � � i <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 />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑Yes ❑No <br />Screen Length <br />� Filter Pack <br />Bentonite <br />Grout <br />❑ Yes / No <br />❑ Yes / No <br />Verified Chain of Custody: ❑Yes ❑No <br />SPOILS <br />Contamination Noted: ❑Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTIOrrNnnTgtal Depth:�� �� <br />Depth to Water: �^ �v <br />Grout Material: �'Q"�� L��� � <br />Gallons of Grout Used: � �©� OL <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 />flallons <br />dement 471b <br />Bas <br />�°�° I�lix <br />+Nater <br />aliens <br />cement 9�1b <br />Ea s <br />Thickest <br />Thinnest <br />#Bas <br />Bentonite per 94 Ib <br />Thickest <br />Thinnest <br />#Bags <br />2.5 <br />5 <br />1 <br />S <br />10 <br />1 <br />5 <br />2 <br />10 <br />ZO <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />QO <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />5D <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />35 <br />70 <br />7 <br />17.5 <br />35 <br />7 <br />40 <br />80 <br />8 <br />2fl <br />40 <br />8 <br />COMPLETION <br />From: To: <br />From: To: <br />From: To: <br />From: To: <br />❑ Stove Pipe ❑Christie Box <br />• . <br />i err �, <br />\�� �/�� <br />_. -. <br />f' S f <br />ice! � • <br />• <br />� :� .. <br />r <br />�� <br />#t, <br />�°�° ll+lix <br />�°�° I�lix <br />Bentonite per h� Ib <br />1.41 <br />x.47 <br />Bentonite per 94 Ib <br />�t <br />� <br />_. <br />t� <br />�: <br />.. <br />-s.= <br />s��d <br />y� <br />::�- <br />-�F <br />�: <br />;�� <br />— <br />.. <br />�; <br />— <br />�� <br />— <br />- <br />�tt. ��L� <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 />Scree <br />Feet <br />Bentonitel�ement (Ulix <br />�°�° ll+lix <br />�°�° I�lix <br />Bentonite per h� Ib <br />1.41 <br />x.47 <br />Bentonite per 94 Ib <br />2.82 <br />4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sicehd.com <br />