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SAN�J0A0UIN <br /> Environmental Health ®apartment <br /> r <br /> —COUNTY— <br /> Greatness Grow, here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 10 /k Inspector: `-r- �!".L <br /> CONSTRUCTION <br /> Facility Address: 7� T <br /> Well Address: "%-A j-(�Total Depth: <br /> WP# 0 0 1 S,%g Well#: Drilling Rig Type: <br /> Soil Boring#: , K 1 Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: H�-��K <br /> Filter Pack From: To: <br /> Geologist: I �r 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: hei-ght <br /> SAMPLING ABQVE4�.FIOUND <br /> Holding Temperature: �t�' jON COMPLETION <br /> Method: G=r)d Surf2cs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No it <br /> t <br /> ft. z. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> ZL'Jr,2d =- <br /> ss vcn w — <br /> Covered: ❑Yes ❑No <br /> If yes, material: =_ <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: — ' <br /> Grout Material: nr C.J� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used:- 13o <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ,_,/ g Slot Size: <br /> L�Borin Destruction gags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout Dover Drill Type/Brand of Bentonite: <br /> ��,�� Filter Pack Type/Size: <br /> E�Gravity I<remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bas gall ons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest riBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 s 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 25 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 U <br /> 20 40 B 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.sicehd.com <br />