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SAN_=,JOAQUIN <br /> Environme. ! Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ` Z,� Inspector: CONSTRUCTION <br /> Facility Address:Well Address:Address: Total Depth: <br /> WP# \-�a 2zg, Well#:-rN ��-\� Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: . <br /> ��J-� <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: Filter Pack From: To: <br /> Geologist: , ] Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes JJN0 COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: Yes ❑No casing <br /> If yes, location and distance: 1.5� height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION COWLnON <br /> E <br /> Method: +around Suiacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �ft. <br /> R. <br /> fi. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: stottad <br /> sacaon E <br /> Covered: /'Yes ❑No <br /> If yes, material: r3 <br /> GROUTING or DESTRUCTION Total Depth: "b O __ <br /> Depth to Water: � .0� I fL -ft. <br /> Grout Material: O„•,K c4;It� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: .- Z-cz 0 <br /> Casing Type: <br /> ❑Well Installation VfWell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout❑Over Drill Filter Pack Type/Size: <br /> El Gravity V Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bags gallons Bags <br /> Thickest Thinnest 7tBags Thickest Thinnest #Bags BentoniteXement 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 0 <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 />