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SAN JOAQUIN Environmental Health Department <br /> COUNTY— <br /> '•Gatvfice. , Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:y '; 24-4141Mlnspector: •Le CONSTRUCTION <br /> Facility Address;36$I 1'il1jcAVt/ri � y <br /> Well Address: Total Depth: <br /> WP#0045369 Well#: Drilling Rig Type: <br /> Soil Boring#: I Min 2"Annular EHD Seal Verified: El Yes ONO <br /> 5 <br /> Drilling Company:ny: �s S <br /> Driller Onsite: .Sway Screen Length From: To: <br /> Consultant: V7lerv4C-lo4-- Filter Pack From: To: <br /> Geologist: �&VC eAt 4 Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO r casing <br /> If yes, location and distance: f height <br /> SAMPLING ABOVE-GROUND <br /> CowLETION CTIO <br /> Holding Temperature: COMPLETION <br /> Method: Ground ufac. ":F-- <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ONO —# <br /> tt. <br /> SPOILS _R <br /> Contamination Noted: ❑ Yes ONO <br /> If yes,spoils storage Location: 4bnad _ o <br /> ig <br /> Covered: ❑Yes ONO wodon I- = <br /> one Pack <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth:ZGt.71"ZI3Zt <br /> Depth to Water: = tt. <br /> Grout Material: yje4r.V"'18"-L MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 17,(o o I <br /> sJ� Casing Type: <br /> ❑Well Installation IFNell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation El Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> C�Pressure Grout �IOver DriIl(lSw I) Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity V•Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement94h <br /> allons Bags eallons Bees <br /> Thickest Thinnest kBags Thickest Thinnest 9Bags BentonitelCement MIX 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentoniteper <br /> 47 lb I lAll 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 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 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> ZG (vat's u54at.1 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 />