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SAN JOAQUIN Environmental Health Department <br /> i" � •i --COUNTY— <br /> Greatness grows here. <br /> Monitoring <br /> � yWell/Soil Boring Inspection Report <br /> �2-0Date: 3 � Inspector: S(A 4rf�+` CONSTRUCTION <br /> Facility ddress: 2-4(, 7�j byt <br /> Well Address: Total Depth: S <br /> Wp#i 0(') —Well#: Drilling Rig Type: j:fa '4 a�_ <br /> Soil Boring#t: S y.L- SV3 Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: Ca laGLU <br /> Driller Onsite: (11LL t73'li Screen Length From: To: <br /> Consultant: ��- Filter Pack From: To: <br /> Geologist: (�{ Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑Yes ONO casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-0flOUNO CHRSTY43OX <br /> Holding Temperature: OOWLETION COMPLETION <br /> Method: —_Ground s I"' <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> n. <br /> SPOILS = .: <br /> Contamination Noted: ❑ Yes ❑No ° = <br /> If yes,spoils storage Location: <br /> s4ction .8 <br /> Covered: ❑Yes ❑No <br /> a"a peat <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: Jr�� <br /> Depthto Water: <br /> Grout Material: NO_ !" (�/wNPr MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction Bags of Cement: <br /> METHOD USED // Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 4711a Water Cement941b <br /> allons Ba s gallons Ba s <br /> Thickest Thinnest peags Thickest Thinnest OBagz BentonitelCement MiX M2.82 <br /> Mix5% MIX <br /> 2.5 5 1 5 to 1 Bentonite per 47 Ib 2.47 <br /> 5 to 2 to 20 2 Benlonite per 94lb 4.7 <br /> 7. 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 B 40 BO B <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 />