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SAN JDAQUIN Environmen.._ . Health Department <br /> COUNTY <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: CONSTRUCTION <br /> Facility Address: ozav s <br /> Well Address: T Total Depth: <br /> WP# '0-3 9yky Well#: Drilling Rig Type: <br /> Soil Boring#: C-<sw %11 (.7(sw61 <br /> 0,�,.,� � Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> �' .. <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: (rr.�sy„ <br /> Filter Pack From: To: <br /> Geologist: tP''l,.e..� t,er r /�aa L�K4-e <br /> 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 ABOVE-GROUND <br /> Holding Temperature: �WLEMN comPLEnoN <br /> Method: [houndSuiacs +""'� <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes ❑No �ft' <br /> ft. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: slotted <br /> sac5on <br /> Covered: ❑ Yes ❑No = a <br /> ack <br /> If yes, material: x <br /> GROUTING or DESTRUCTION Total Depth: r� � <br /> Depth to Water:^ 544; <br /> Grout Material: ,f f. C,6 MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation Goring Destruction Bags iz Cement: <br /> METHOD USED Bags 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 /> allons Bags Rallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest >iBags Bentonite/Cement Mix 3% MIX 5% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> s 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> T5 15 3 15 30 3 p ` <br /> 10 20 4 20 40 4 V J 1• 4710 <br /> 12.s 25 5 25 50 5 44- <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 40 8 40 80 ./ 8 <br /> 4 1 f 6 S f Z 9 l-c�� 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 />