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cA SAN -IOAQUIN <br /> Environme. A Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 7k 2Z, Inspector: CONSTRUCTION <br /> Facility Address: <br /> Well Address: -t> P- 6 'A Total Depth: <br /> WP# `V) Well#: lN'•\\ Drilling Rig Type: <br /> Soil Boring#: 1,3 1 P. Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company:s J� S(�A.p F <br /> Driller Onsite: ��p,�vC-f7 Screen Length From: To: <br /> Consultant: P�CL- CY.czo�Q �<CJQ,�c��C Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes VN0 COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: Yes ❑No casing <br /> If yes, location and distance: ��L��� height <br /> A ErWT <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION cooMPLEnc;cN <br /> Method: Ground Sufacs <br /> Screening Method: P, grout <br /> Verified Chain of Custody: ❑ Yes ❑No tt• <br /> it. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: N'\b"D ❑ Yes ❑No = _ <br /> If yes, spoils storage Location: statt&e = — <br /> s On x: _ <br /> Covered: Yes ❑No <br /> If yes, material: Gov g-viW pack <br /> CfTvr DESTRUCTION Total Depth: <br /> Depth to Water: LA 6' — n <br /> Grout Material: C. <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: -�s ad- Casing Type: <br /> ❑Well Installation JZWeII Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation LJBor' g Destruction 4, Bags of Cement: <br /> METHOD USED P`r " ags Sand/Gravel: <br /> ❑Pressure Grout Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity �remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bags gallons Bags <br /> Thickest Thinnest tlBags Thickest Thinnest #Bags 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 6 30 60 6 <br /> 17.5 3 35 70 7 <br /> 20 4 8 40 80 8 <br /> 1-11 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />