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SAN JOAQUIN Environmental Health Department <br /> —COUNTY-- <br /> Greatness grows her._ <br /> nn Monitoring Well/Soil Boring Inspection Report <br /> Date: b � Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: Total Depth: ►Zb <br /> WP# U-00611,40 Well#: Drilling Rig Type: ll <br /> Soil Boring#: Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: <br /> Driller O Screen Length From: i Z6 To: 1 S b <br /> Consultant: ���Vi✓2�� . 5VV__. Filter Pack From: I1(7 To: ((? <br /> Geologist: (0 1Bentonite From: 108 To: No <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe <br /> p .Christie Box <br /> + <br /> Domestic Well Onsite: ❑ Yes ❑No <br /> casing <br /> If yes, location and distance: height -rap 01n +Cli <br /> WT —ew, <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COArF=1ON COMP=CN <br /> Method: Ground S"r<'°' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �_ft• <br /> ft. <br /> ft. <br /> SPOILS <br /> — a <br /> Contamination Noted: ❑ Yes ❑No _ <br /> If yes, spoils storage Location: stood <br /> soc'on = <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth:�'��� eyujv, <br /> Depth to Water: ft2 ft. <br /> Grout Material: <br /> Gallons of Grout Used: �, MATERIALS/DEVELOPMENT <br /> Casing Type: ioit,,A <br /> Well Installation ❑Well Destruction Blank j V) Feet Screen 61 Feet <br /> El Boring Installation ❑ Slot Size: U . Q(()Boring Destruction Bags of Cement: r-2 <br /> METHOD USED Bags Sand/Gravel: 5 <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: I- <br /> Filter Pack Type/Size: F U' Ie_ 9 <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water C ment 4711 Water Cement 94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest Thickest Thinnest nBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 11 , 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 -2.11 1 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 /> 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 />