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SAN JOAQUIr. <br /> —COUNTY Environme_ A Health Department <br /> Greotness grorvs here. <br /> / vv Monitoring Well/Soil Boring Inspection Report <br /> CC <br /> Date: E�Z[�u Inspector: �✓ CONSTRUCTION <br /> Facility Address: iS 3 V cS1c�(M yrc.i ( <br /> Well Address: Total Depth: <br /> WP#M�� Well#: hl Drilling Rig Type: <br /> Soil Boring#: --" Min 2"Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: _CA,SCA <br /> Driller Onsite: '� Screen Length From: To: <br /> Consultant: A' Filter Pack From: To: <br /> Geologist: )n hn, Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING '- <br /> AsoVE.draouran ct�ssrr-aox. <br /> Holding Temperature: oowLE ioN colvlpLErioN <br /> Method: Gmdna8udace <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft- <br /> SPOILS ft. <br /> " ~ _ <br /> Contamination Noted: El Yes ❑No a <br /> If yes,spoils storage Location: _ <br /> slonad <br /> Covered: �<Y ❑es No n <br /> /� II 9 ,01Pack <br /> If yes,material: D j, n _ <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: it. <br /> GroutMaterial: ek;:r- ce-ple VI' <br /> Gallons of Grout Used: y MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation *ell Destruction Blank Feet Screen Feet <br /> []Boring Installation ❑ Slot Size: <br /> Boring 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 /> El Gravity 1Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest "Bags Thickest Thinnest "Bags Bentonite/Cement Mix 3% Mix 55% Mix <br /> i,s s 1 s 10 1 Bentonite per 47Ib 1.41 2.47 <br /> s io 2 io 20 2 7.5 15 3 15 30 S <br /> 3 entonite per 94 Ib 2.82 4.7 <br /> i <br /> 10 20 4 20 40 1 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 1 v ww.sicehd.com <br />