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SAN�.J0AQUIN <br /> Environmental Health Department <br /> —COUNT Y— <br /> "'i Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: k 1' 1Z?_S Inspector: CONSTRUCTION <br /> Facility Address: - <br /> Well Address: \ Total Depth: <br /> WP# Well#: \ S , �` Drilling Rig Type: <br /> Drilling Company: IQ, �II��(.t,��t� l Min 2"Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: il�C L Filter Pack From: To: <br /> Geologist: �bt'l� Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: [ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes No casing <br /> If yes, location and distance: / T height <br /> SAMPLING ABOVE-GROUND <br /> LEr10N CHA1Sil'-SOX • <br /> Holding Temperature: COMP Cot+/PLEFTiON <br /> Method: sutacs..+�.._._.' <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑Noft. <br /> ii. <br /> fi. <br /> SPOILS <br /> 0 <br /> Contamination Noted: El Yes ❑No ah <br /> If yes, spoils storage Location: slott*d = <br /> sacdonX.: <br /> Covered: ❑ Yes ❑NoPack <br /> = , <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: . <br /> Depth to Water: ti- <br /> Grout Material: t46, <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation *ell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie f�JOther: X c 05 ruC Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gall Bags gallons Bags <br /> Thickest T)iln st -#aqgs Thickest Thinnest #Bap Bentonite/Cement Mix 3%Mix 5% MIX <br /> 2.5 5 1 s 10 1 Bentonite per 47 lb 1.41 2.47 <br /> s ltd 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 I 3 15 30 3 i <br /> 10 20 1 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 B <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www,sicehd.com <br />