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SAN JOA UIN <br /> Environmental Health Department <br /> COUNTY-- <br /> ,"9tP Greatness grows here. <br /> / p MonitoringWell/Soil Boring Inspection Report <br /> Date: l xT Inspector: rqll /� <br /> "r ( I Dfl5kg; -CONSTRUCTION <br /> Facility Address: 2G151 <br /> Well Address: Total Depth: <br /> WP# 00 -6 q -3,50 Well#: Drilling Rig Type: <br /> Soil Boring#: 62 , 63 <br /> Drilling Company: �' a✓� �������-� Min 2"Annular EHD Seal Verified: 11 Yes El No <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant:_ dv n cz-8 66 EVIV' 1-kiC <br /> 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: TffLT height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COETION CCOAPLE oN <br /> IFt. <br /> Method: GroundSuiaos T <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No -i--n' <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No r` <br /> If yes,spoils storage Location: stottod <br /> socJon r <br /> Covered: ❑ Yes ❑No <br /> pawl pads <br /> If yes, material: <br /> GROUTING or DESTRUCTION otal Depth: <br /> Depth to Water: n- 2F tt. <br /> Grout Material: L <br /> Gallons of Grout Used: 0 MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation),Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> E4 Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Ba alIII ons Bags <br /> Thickest Thinnest 1t Bags Thickest Thinnest VBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 1 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 15 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 /> 1� D S 10/16/2017 <br /> -2o <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />