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SAN JUAQUIN <br /> Environmental HeaHh Department <br /> ►��;:'` ' —COUNTY <br /> 01" Greatness arwvs hers. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:Z.1 lKWL Vl k Inspector:Lm2ncECONSTRUCTION <br /> Facility Address: g 0,-s C.�-ke-,e-Z e&�_ ,kl)p.,�-A <br /> Well Address: Total Depth: <br /> WP# -L0-b-Q k%'L- Well#:A)/b — Drilling Rig Type: <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: . <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: (A 's SAe3',g— Filter Pack From: To: <br /> Geologist: 9=0 cJN�-D 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 casing <br /> If yes, location and distance: height <br /> T <br /> SAMPLING ABOVEGROUND c-w�srr-aox <br /> Holding Temperature: col�t.>=t't°N CCWLEnON <br /> Method: G=r)d Sulac9 +-- <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No ft. <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No Y _— <br /> T, m <br /> x! C <br /> If yes, spoils storage Location: = a <br /> slotted <br /> Covered: nor, — <br /> ❑ Yes ❑No <br /> grivD,Pack <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: N J 11 ft• " _ ft- <br /> Grout Material: il " lE MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: UC1 Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation ❑Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> allons Bags Qallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix S% 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 Stockton, California 95205 1 T 209 468-3420 1 IF 209 464-0138 1 www.sicehd.com <br />