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C 0 L)N!T Y---- ft <br /> Monitodn,.g Well/Soil Boring inspection Report <br /> Date: Inspector: (W CONST R"Ej CT-i ON <br /> Facility Address: I9eM3 S, 0,44ACI A* <br /> Well Address: To-Lai Depth: <br /> WP# 001.1Mwl- Well#7: Drilling Rig Type: <br /> Soil Boring#; 4 <br /> Drilling Company: bYkVKD Win 2" Annular END Seal Verified: 11 Yes El No <br /> Ct-t� Screen Length From: To: <br /> Driller Onsite: UwIOIK'�,J <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: 10 Yes ONo CON"iPi-ETICIN El Stove Pipe []Christie Box <br /> Domestic Well Onsite: Ol Yes EJNo <br /> 11 yes, location and distance: hei g <br /> nL <br /> SAMPLING <br /> I-11olding Ternperabure: <br /> M et 1-1 o d: <br /> Screening Mlethod: v/" <br /> Verified Chain Of Custody: 0 Yes ONo <br /> r <br /> SPOILS A <br /> COntarnination Noted: El Yes 0-N,o <br /> 14 yes,spoils storage Location: <br /> Covered: El Yes EINci <br /> 11'yes, material: l J. <br /> GROUTINIG or DESTRUCTION Total Depth: <br /> Depth to Water: ft. <br /> Grout IMateria1: fbP"90 O^w"41w <br /> - <br /> Gallons of Grout Used: I a'- <br /> T <br /> Casing Type: <br /> OWell installation OWell Destruction Blank Feet Screen-Feet <br /> Slot Size: <br /> I-JBoring Installation 54Boring Destruction Bags of Cement: <br /> M E T H G D USED Bags Sand./Gravel: <br /> Type/Brand of Bentonite: <br /> OlDressure Grout 010ver Drill FMIL-er Pack T ypej/51-ze: <br /> Ell Gravilv EIT ren-ile Ooulei_: Type of Method: <br /> 71b 94H <br /> Cenn�ni VV?",E I' Cemen 1) <br /> Bags ons RS <br /> 6a, <br /> tn, -w x <br /> fa <br /> -hinnas, P, gg 5 T!id"Es" i -6 mf�R�eil b Cox. ii <br /> per A,7 111D 1 -1.4 1 1 9.471 <br /> - -ffe Per lb 1 2.821 1 <br /> s 15 30 3 Br-ra 0�c) <br /> 20 F 40 41 <br /> 12.5 1 25 1 5 25 50 5 <br /> 15 I -q 1 6 so I 60 6 <br /> 35 I 7 <br /> n'17 <br /> 10/ 0 -) <br /> / <br /> E. P,,,azeitort Averue Stockton:Cahlornja 9520,7) T 200 468--3420 F 209 464-0-138 tl wwv 1.sjcshdxprn <br />