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SAN JOAQUIN Environmen Health Department <br /> COUNTY <br /> — <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: W111 Inspector: �� �c CONSTRUCTION <br /> Facility Address: C4.j ti Ir''� 2 <br /> Well Address: Total Depth: <br /> WP#003-j!j Well#: Drilling Rig Type: <br /> Soil Boring#: (7(sw - t5 Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: ..¢, <br /> Driller Onsite: -, „� <br /> Screen Length From: To: <br /> Consultant: G-e-vs.l�-tc- <br /> Filter Pack From: To: <br /> Bentonite From: To: <br /> Geologist: <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: I T height <br /> SAMPLING AE8CVE-GAIXJND <br /> Holding Temperature: CoWrION COMP� <br /> � L.EnON <br /> Method: Ground Surface "— <br /> Screening Method: arm <br /> Verified Chain of Custody: ❑ Yes ❑No �ft' <br /> tt. <br /> tt. <br /> SPOILS = <br /> =�R_ = a <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: stottnd _ <br /> sscdon <br /> Covered: ❑ Yes ❑No = �rsw Pp k <br /> If yes, material: < <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: O n• ft. <br /> Grout Material: loco MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> �� Slot Size: <br /> El Installation Poring Destruction gags 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 /> gall Bags gallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7,5 15 3 15 30 3 <br /> 10 20 1 4 20 40 4 <br /> 12.5 25 5 25 50 5 3 v <br /> 0 �., o 'n <br /> 15 30 6 30 60 6 ✓✓✓ (j <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 '` <br /> 14 1 An 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 />