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SAN JOAQUIN i <br /> a Environmental Health Department <br /> �sii'• - `; —COUNTY— <br /> Greatness grows here. <br /> `, <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ZOZOnspector: VV o'^ CONSTRUCTION <br /> Facility Address: Z(7g ci Q t� <br /> Well Address: S A a A '1 Total Depth: <br /> WP# Well#: I�l U1/ ; MYt� Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD seal Verified: ❑ Yes ❑No <br /> Drilling Company: t' <br /> Driller Onsite: Screen Length From:7" ,rr To: <br /> Consultant: ln Filter Pack From: To:�� <br /> Geologist:� �e VI ��—� Bentonite WI r��I gTo: _ <br /> '�— Grout From: I1To: 7n <br /> Public Water System Onsite: El Yes El No COMPLETION ❑ Stove Pipe \3Shristie Box <br /> Domestic Well Onsite: ❑Yes ❑No casing M wq <br /> If yes,location and distance: height <br /> GGwwJy�. � <br /> SAMPLING ABOVE•6ROUND 9WrY43OX <br /> Holding Temperature: ooNPLETi°N COMPLEnoN <br /> Method: —Grounds .--s <br /> Screening Method: orrout <br /> 111 <br /> Verified Chain of Custody: ❑Yes El No <br /> ff. <br /> SPOILS off. y <br /> Contamination Noted: ❑Yes []No =° ; <br /> :.. .s <br /> If yes,spoils storage Location: aon4a __ $ <br /> seclonIt <br /> Covered: ❑Yes ❑No ar+VWPack <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Deprlh: 14- 5 <br /> Depth to Water: <br /> tt tt. <br /> Grout Material: A)1 :+ Chtnna& + I e �t0 <br /> Gallons of Grout Used: , ,. a MATERIALS/DEVELOPMENT P VC <br /> No S vi r,�C ` Casing Type: <br /> Nell Installation ❑Well Destruction ��� Blank zS Feet Screen Feet <br /> Slot Size: <br /> /❑Boring Installation ❑Boring Destruction (� <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Dover Drill Type/Brand of Bentonite: !l ,Ye-gq _ w ✓Y7 <br /> Filter Pack Type/Size: lJ 2 �IZ <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags eaflons Ba s _ <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags _Bentonite/Cement Mix 3% MIX 5%MIX_ <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1 1.411 2.41, <br /> 5 10 2 16 20 2 Bentonite er 941b 1 2.821 4.7 <br /> 7.5 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 35 70 7 <br /> 20 40 40 00 0 <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 />