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•le" iii h I x -M M.Y v P <br />-COUNTY- <br />Greatr.ess q, -ons nere. <br />"T W11 <br />r.■.:-x..�tM:r��l=��YT�r�i�[=�W11 <br />Monitoring Well/Soil Boring Inspection Report <br />Date: I Z 1:1118 Inspector: <br />Facility Address iBfCd� Si�rrg Vie o� C�6 <br />Well Address: <br />WP#12a 3U410 Well#: <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />Public Water System Onsite: . ❑Yes ❑No <br />Domestic We11 Onsite: <br />If yes, location and distan <br />t_. <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />GROUTING or DESTRUCTION Total Depth: I'Z� <br />Depth to Water: ¢ S ✓Aj o,,.7ln <br />Grout Material: l0 <br />Gallons of Grout Used: <br />[R ell Installation ❑Well Destruction <br />❑Boring Installation El Boring <br />Destruction <br />METHOD USED <br />❑Pressure <br />Grout L70ver Drill <br />❑ Gravity PTr <br />emie ❑Other: <br />Water Cement 471b Water <br />allons <br />Bas <br />3nln �I� <br />allons <br />Cement 941b <br />Bads <br />Thickest <br />Thinnest <br />#Bags <br />2.47 <br />Thickest <br />Thinnest <br />#Bat's <br />2.5 <br />S <br />1 <br />5 <br />10 <br />1 <br />5 <br />10' <br />2 <br />I 3 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />asr^cr <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />0 <br />CONSTRUCTION <br />Total Depth: 01 �541 <br />Drilling Rig Type: AN UAL rfd-A i, j <br />Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br />Screen Length <br />Filter Pack <br />B e nto n ite <br />Grout <br />COMPLETION <br />From: <br />From: <br />From:_ <br />From: <br />❑Stove Pipe <br />To: <br />To: j7.6j4;- <br />To <br />❑Christie Box <br />^zsing <br />a <br />- <br />iYo��-ta,�r <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Type of Method: <br />Screen Feet <br />�>RI7$QI71��f'1,•.�iri�I7� I�f1Y. <br />3nln �I� <br />rJa%n L}!7[3:_ <br />Benionite per 47 Ib <br />1.41 <br />2.47 <br />_ <br />Bentonife <br />per 94 Ib <br />20821 <br />4.7 <br />_ <br />I 3 <br />( <br />I <br />asr^cr <br />_` <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Type of Method: <br />Screen Feet <br />5 <br />10f16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T• 209 468-3420 � � 209 464-0138 I www.sicehd.com <br />� ,,�,�. c�Y PVC <br />�>RI7$QI71��f'1,•.�iri�I7� I�f1Y. <br />3nln �I� <br />rJa%n L}!7[3:_ <br />Benionite per 47 Ib <br />1.41 <br />2.47 <br />_ <br />Bentonife <br />per 94 Ib <br />20821 <br />4.7 <br />_ <br />I 3 <br />( <br />I <br />5 <br />10f16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T• 209 468-3420 � � 209 464-0138 I www.sicehd.com <br />� ,,�,�. c�Y PVC <br />