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1-11 <br /> a�°u"� SAN JOAQUIN Environmental Health Department <br /> . <br /> (1 L& COUNTY <br /> `qP/ Greatness grows here. <br /> u Monitoring Well/Soil Boring Inspection Report <br /> Date: `/y /►9 Inspector: lq+lagtueo4t', CONSTRUCTION <br /> Facility Address: 0 vk. <br /> Well Address: Total Depth: �J I <br /> WP# 3 Well#: Drilling Rig Type: � ( S 6 �� <br /> Soil Boring#: 9 I <br /> Drilling Company: T� j2 Min 2"Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: In' Screen Length From: To: <br /> Consultant: G�C� Filter Pack From: To: <br /> Geologist: <br /> _L <br /> -to r- Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COt`'F�JON �LEToN <br /> Method: Ground Sauce <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No —` n' <br /> it. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: ebt<ed , <br /> sec9on <br /> Covered: ❑ Yes ❑No = graw+pack <br /> If yes, material: IF <br /> C <br /> GROUTING or DESTRUCTION Total Depth: �.J 0(Z i__ <br /> Depth to Water: n- n' <br /> Grout Material:AZZAX- - �n-�1 MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used:�j` Casing Type: <br /> e: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation �IBoring 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 QSTremie ❑Other: Type of Method: <br /> Water Ceme 471b Water Cement 941b <br /> allons Bag Fallons 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 <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 /> l�yS 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 />