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SAN IOAQUIN <br /> £ - Environmr tal Health Department <br /> , . <br /> _COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:\\ Inspector:%s'k 4 ^�v� CONSTRUCTION <br /> Facility Address: '*St )1• S <br /> Well Address: S� yc gpPQ Total Depth: <br /> WP# Well#: -\O I S6 k Drilling Rig Type: <br /> Soil Boring#: N1P <br /> Drilling Company: EN • Q Qo&tG Min 2"Annular EHD Seal Verified: Yes ❑No <br /> Driller Onsite: SvSN Screen Length From: S To: <br /> Consultant: e p p c 0 wig Filter Pack From:'v • S To: <br /> Geologist: t om, Bentonite From: To: L <br /> Grout From: g TO:wo* _ <br /> Public Water System Onsite: (Yes ❑No COMPLETION ❑ Stove Pipe PaChristie Box <br /> Domestic Well Onsite: ❑ Yes )qNo Casing <br /> If yes, location and distance: IFTLI height <br /> SAMPLING J Q.. R ABOVE•dROUND c-Piun,.eox . <br /> Holding Temperature: CO IETbN COMPtEMN <br /> Method: °roe"°S"i°" <br /> Screening Method: Sow Ql•PMDq-- 0 Z <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> ft. <br /> SPOILS �� Q �MCyoF9 e <br /> Contamination Noted: <1) ❑Yes ❑No <br /> If yes,spoils storage Location: > 9 O rC Sras ix g <br /> slotted <br /> S <br /> Covered: ❑Yes No Qp�Q = g-,r,lPack <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth: •cJ <br /> Depth to Water: <br /> Grout Material: ka•V r, <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: 114 Cwwc�t.. <br /> Well Installation ❑Well Destruction Blank tj kc _Feet Screen N /A Feet <br /> 51e� <br /> ❑eoring Installation ❑BoringDestruction fz�r�S_ C�cov�l <br /> Bags of Cement: 1 <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout Dover Drill 1 <br /> Filter Pack Type/Size: %Q-A Vim. <br /> 14 Gravity ❑Tremie ❑Other: Type of Method: T Re-1XS fo R P.t �c.�xdaC <br /> Water Cement 471b Water Cement 941b <br /> allons Bags eallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags _ Bentonite/Cement Mix 3% Mix 5%MIx <br /> s s 20 2 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 2 10 23 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 is 3 15 30 3 <br /> 10 20 4 M 40 4 <br /> 12.5 25 5 25 50 5 V r ad- <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 s0 0 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95206 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />