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SAN JOAQUIN Environmen. - Health Department <br /> --COUNTY <br /> - <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: z-tv l Inspector: 6.1 y CONSTRUCTION <br /> Facility Address: L" �►�,-e �2 <br /> Well Address: Total Depth: <br /> WP#In73`f`l P�'// Well#: Drilling Rig Type: <br /> Soil Boring#: lr(rL.D OZ Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: Re,"eC.,•-c DwN✓3 <br /> Driller Onsite: ,Ty,— Screen Length From: To: <br /> Consultant: l7ees,w—Ash ct— Filter Pack From: To: <br /> Geologist: 0121k,L-ktt4E. 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 <br /> casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: comPLETION cot ip�tEnooN <br /> Method: GroundSurfacs T <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No ft' <br /> ft. <br /> ft. <br /> SPOILS - — <br /> Y_ o <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: :bn�d <br /> ssc9on — � <br /> Covered: ❑ Yes ❑No <br /> g­w Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: _ <br /> Depth to Water;Itl & ft n' <br /> Grout Material: ^�., ear —�s- MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation oring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity W;Ffemie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> allons Bags izallons Bags <br /> Thickest Thinnest tlBags Thickest Thinnest 9Bags 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 25 50 5 w1 <br /> 15 30 1`11-6 30 60 6 2 N V <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 />