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'elk SAN-JOAQUIN <br /> —COUNTY— �1 Environrrien ' Wealth Department <br /> J�„_ Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: qTl G�' Inspector: CONSTRUCTION <br /> Facility Address: (.,WA 1-6- VVow <br /> Well Address: tl.bwfo 6,-r�A i-b. 6y a CL Total Depth: <br /> WP# 20Q 124 Well#: % - ZS'nl - 0,9 Drilling Rig Type: P-h <br /> Soil Boring#:Drilling Company: W Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> N <br /> Driller Onsite: cu Screen Length From: To: <br /> Consultant: / � .-x... I ,✓vevw eR Filter Pack From: To: <br /> Geologist: 0(,W,,S 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: � height <br /> SAMPLING ABOVE-GROUND crlTitsTi Box' <br /> Holding Temperature: co 6PLETIoN cobwi ErioN <br /> Method: Groeindsutacs --- <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No Ift' <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No — <br /> If yes, spoils storage Location: slanaa :s <br /> sac#on t = B <br /> Covered: ❑ Yes El No = gravwtack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 0AW +o <br /> Grout Material: Mt� o MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: L430c <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 /> Type/Brand of Bentonite: <br /> ❑Pressure Grout L70ver Drill <br /> � Filter Pack Type/Size: <br /> El Gravity C3'fremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> alions Bags eallons Bags _ <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3"/a Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per47lb 1.41 2.47 <br /> 5 10, 2 10 20 2 Bentonite per 94lb 2.821 4.7 <br /> 7.5 15 3 i5 30 3 i p� <br /> 10 20 4 20 40 4 H +rc H p_ <br /> 12.5 25 5 25 50 5 I �l <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 3 40 58 <br /> po u-1 fS 4�- 1 6 K-74 " s 10/16/2017 <br /> 1868 E. Hazelton Avenue f Stockton, California 95205 f T 209 468-3420 f F 209 464-0138 f www.sicehd.com <br /> e '-VA jvn X11 <br />