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—COUNTY— Lam.. .. . ... ..Jl.. . . J.. I A. !h..d..l. <br /> _ - Greatness gro-ws hErc. <br /> Monitucing Well/Soil Boring Inspectio._ ,deport <br /> Date: '2 o Inspector: CONSTRUCTION <br /> Facility Address: rpi) it > (L@� <br /> Well Address: ? a"A Total Depth: <br /> WP# o D 3ASb Ll Well#: p Z UO Drilling Rig Type: <br /> Soil Boring#: ft QZ(gI\ PZc7m Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: (3�� , 2orr�f��,� Screen Length From: To: <br /> Filter Pack From: To: <br /> Consultant: N�� <br /> Geologist: Srv..�n.,��,� <br /> r 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 []No 0a=ing <br /> If yes, location and distance: ly height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COFQN c � o <br /> Method: tarrsurud Sul=v <br /> Screening Method: of <br /> Verified Chain of Custody: ❑ Yes ❑No �- <br /> iz_ <br /> �t. <br /> SPOILS <br /> Ov _ <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: - <br /> swyoun <br /> Covered: ❑Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:7,l47,°7 z _ <br /> Depth to Water: - ®w — IF ' <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: �;� Casing Type: <br /> ��,, �� g Yp <br /> ❑Well Installation L4�We11 Destruction Blank Feet Screen Feet <br /> El Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Dover Drill Type/Brand of Bentonite: <br /> �� Filter Pack Type/Size: <br /> L`1Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags BentonitefCement 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 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 1 25 5 25 50 5 QZo�q ...ans �k _ / w �y Ole-sl v w 6-) <br /> 155 30 6 30 60 6 T -7.5 35 7 35 70 71 � �yy,� J <br /> 1 0 40 8 40 80 8 G G�$ l�L{ <br /> •- �y�,S„�'�'�""-.1r r1�V 1 S�.�.L�w�.��r ✓Jav:Lr42@l!/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 />