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pf.,V!N n•. <br /> SANsJOAQUIN Environmental Wealth Department <br /> s w I_ <br /> � 1 <br /> F�pt;�+ Greutness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 9 26 Inspector: Cis CONSTRUCTION <br /> Facility Address: SO— <br /> Well Address: J Total Depth: <br /> WP#1 G _Weil#: —B. �� +(� Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑Yes ❑No <br /> Drilling Company: V -awn <br /> Driller Onsite: tI5creen 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 El Christie Box <br /> Domestic Well Onsite: ❑Yes ❑No casing ' ' •, <br /> If yes, location and distance: height <br /> SAMPLING <br /> Holding Temperature: COWLFt'I°N <br /> Method: tcsana swta�a ���� <br /> Screening Method: a`o"t <br /> Verified Chain of Custody: ❑Yes ❑Noft' <br /> it. <br /> SPOILS lAit <br /> Contamination Noted: El Yes ❑No = 4 <br /> xv <br /> If yes,spoils storage Location: <br /> waan <br /> M. <br /> Covered: ❑Yes El No = , p <br /> If yes, material: <br /> GROUT]NG-or-DESTRUCTION.Total Depth:- •. / j, � b, •• - _• _. . <br /> Depth to Water: <br /> Grout Material; Qpo cuiml/1 MATEkALS/DEVELOPMENT <br /> Gallons of Grout Used: U Casing Type: <br /> ❑Well Installation NWell 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 Dover Drill Filter Pack Type/Size: <br /> El Gravity IkTremie Other: C � 5 Type of Method: <br /> Water Cement 471b Water ment 941b <br /> gall Bags gallons Ba <br /> Thickest Thinnest 8Bags Thickest Thinnest Bags Benton ite]Ce me nt Mix 3% Mile 5% Mix <br /> 2,5 5 1 5 10 Bentonlie per 47 Ib 1.411 2.47 <br /> 5 10 2 10 20 2 1 Bentonite per 94 Ib 2.821 4.7 <br /> 7,5 15 3 15 80 3 I i I <br /> 10 20 4 20 40 4 <br /> 115 25 5 25 50 5 <br /> 1s 3o 6 30 60 6 <br /> 1715 35 7 3S 70 7 <br /> 20 40 8 40 80 1 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 1 F 209 464-0138.1 www,sicehd.com <br />