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SAN��JOAQUIN <br /> • Environmental Health Department <br /> —COUNTY— <br /> '�t" " Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> n ����� """" <br /> Date: \ Inspector: 'F• kAtIe,tCONSTRUCTION <br /> Facility Ad ress: nittG, <br /> Well Address: Total Depth: <br /> WP# � Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Min 2"Annular EHD Seal Verified: EJ Yes []No <br /> Drilling Company: r L 'h <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: 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: t height <br /> 7 <br /> SAMPLING ABOVE-GROUND � - <br /> co�i�nor� a-iRlsrr-aox <br /> Holding Temperature: Cot LETi.ota <br /> Method: ca`0 nclSWact <br /> Screening Method: fliBCJt <br /> Verified Chain of Custody: ❑Yes ❑Nott' <br /> fl. <br /> tt. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes,spoils storage Location: slow <br /> sawn <br /> Covered: ❑ Yes ❑No <br /> gravol Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: tL <br /> Grout Material: Nw e w <br /> Gallons of Grout Used: 3 0 'W;, MATERIALS/DEVELOPMENT <br /> -7bw <br /> -41u Casing Type: <br /> ❑Well Installation 'Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring 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 ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> Ilons Bags gallons Bags <br /> Thickest Thinnest #Bags 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 i <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 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1388 E. Hazelton Ayanue Stockton,California 95205 T 209 468-3420 1 F 209 464-0138 I wvAv.sicehd.com <br />