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;'i Environmental Health Department <br /> L. —COUNTY <br /> ' \ ."�".-•SIL. <br /> Greatness crows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:zs N�O Inspector: CONSTRUCTION <br /> Facility Address: ZL '4 (n 94A)ca L&-4p <br /> Well Address: Total Depth: <br /> WP# W12 2S 0 1 Z u L, Well#: Drilling Rig Type: <br /> Soil Boring#: 7712'r- (_ " �6LD�i Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: e�A) PO-0dsd, <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 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: 'yo) toc � � height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: c0N'�riON COMP�LETiON <br /> Method: Ground Sudaca # <br /> Screening Method: gran <br /> Verified Chain of Custody: ❑ Yes El No ft- <br /> tt. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes,spoils storage Location: stot <br /> sac.on <br /> Covered: ❑ Yes ❑No <br /> g-wlw Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Tptal Depth:_ <br /> Depth to Water: ft- " — ft- <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: ^- Casing Type: <br /> [--]Well Installation l2lWell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED 1 Bags Sand/Gravel: <br /> ❑Pressure Grout IJOver Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ZGravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> gallons Bas gall ons Bags <br /> Thickest Thi est #Bags Thickest Thinnest HBags Bentonite/Gement Mix 3% Mix 5% Mix <br /> 2.5 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 1 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 209464-0138 1 www.sicehd.com <br />