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SAN JUAQUIN Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 3/13/2019 Inspector: J. Easter CONSTRUCTION <br /> Facility Address: 17200 Murphy Parkway, Lathrop, CA 95330 <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: <br /> Soil Boring#: B21 <br /> Drilling Company: Penecore Drilling Min 2" Annular EHD Seal Verified: El Yes El No <br /> Screen Length From: To: <br /> Driller Onsite: Jorge <br /> Consultant: Advanced GeoEnvironmental Filter Pack From: To: <br /> Geologist: Brian Millman Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: 32 degrees(on ice) COWPLETION �fsiETION <br /> COMPLETION <br /> Method: direct push with hollow-probing rods Ground Surface <br /> Screening Method:visual classification, PID, ELAP-certified laboratory grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft' <br /> fi. <br /> ft. <br /> SPOILS . <br /> Contamination Noted: iA Yes El No a` _ <br /> If yes, spoils storage Location:transferred to drum slotted <br /> aKisQn X _ <br /> Covered: V Yes El No A <br /> If yes, material: glass(2.5'bgs to 4'bgs) <br /> GROUTING or DESTRUCTION Total Depth: 10 feet bgs rz� <br /> Depth to Water: estimated to be at 11 feet bgs n. n <br /> Grout Material: Neat Cement <br /> Gallons of Grout Used: approximately 5 gallons MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑ Slot Size: <br /> Boring Installation VBoring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> V Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> gallons Bags gallons Ba s <br /> Thickest Thinnest uBags Thickest Thinnest ttBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 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 /> 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 />