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SANisJOA UIN <br /> Q Environmental Health Department <br /> t <br /> 3 I . } <br /> —COUNTY- <br /> -Gq G-eatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 6PdqW <br /> Inspector: 5 CONSTRUCTION <br /> Facility A <br /> Well Address: Total Depth: <br /> WP# (Ibgq 6W Z Well#: Drilling Rig Type: <br /> Soil Boring#: I Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> Drilling Company: Gal <br /> Driller Onsite: Screen Length From: To: <br /> Filter Pack From: To: <br /> Consultant: ��417L� oGi NtQE6,19' Bentonite From: To: <br /> Geologist: TOi'1U4_� <br /> T` Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe El Christie Box <br /> Domestic Well Onsite: ❑Yes ❑No aaeing ' <br /> If yes,location and distance: ;VZ4V <br /> riaight <br /> SAMPLING Nta Holding Temperature: O01°N GCMP.E PN <br /> Method: arouna9urfaca <br /> Screening Method: PRIAgr t <br /> Verified Chain of Custody: ❑Yes ❑Non <br /> a. <br /> SPOILS <br /> Contamination Noted: ❑Yes ❑No S <br /> If yes,spoils storage Location: <br /> Covered: ❑Yes El No _ <br /> T ', wiivat Pack <br /> If yes,material: <br /> GROUTING-or-DESTRUCTION•Total Depth:_�.t.... <br /> Depth to Water: ft' <br /> Grout Material: WLIf CAfW(1+_ <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: ^ u A Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation,K@oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout Dover Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity fWremie ❑Other: Type of Method: <br /> Water ent 471h Water Censent9414 <br /> a Ions Basis gallons Bags <br /> Thickest Thinnest Thickest Thinnest NBaBs t3entoniteiGement Mix 3°/a Mix 5°!° Mix <br /> z•s s 1 s 10 1 Bentonite per 471b 1.41 2.47 <br /> s 10 2 10 20 a Bentonite per 941b 2.82 4.7 <br /> 75 U 3 is 3o 3 <br /> 10 . 20 4 20 40 4 <br /> ]2.5 25 5 25 50 5 <br /> 15 30 6 30 60 - 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 a 40 eo a <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 />