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.SAN JOAQUIN Environmental Health Department <br /> � + <br /> COUNTY-- <br /> "IF <br /> OUNTY - <br /> "C`rGreatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 1-//'5/N Inspjct�or; is .Cf'tjy�'CONSTRUCTION <br /> Facility Address: ',2950 e ; <br /> Well Address: Total Depth: // �J1 <br /> WP# V Well#: Drilling Rig Type: PS4 b // =1Cf�'� lC�� <br /> Soil Boring#: Ll 4 P2 5 9 Min 2" Annular EHD Seal Verified: ❑ Yes El No <br /> Drilling Company: � / <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> JGeologist: , Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> —EWT <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CONF .En°N CC+APLEn0N <br /> Method: Ground Sulacs <br /> Screening Method: gro[A <br /> Verified Chain of Custody: ❑ Yes El No y—n' <br /> n. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No r" <br /> If yes, spoils storage Location: 3 <br /> l b <br /> on :r <br /> s�cl ;y; <br /> Covered: El Yes El No U 9""911 Pack <br /> If yes, material: 1 1 <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: ( `6 S M n' <br /> � - 16.5 <br /> GroutMaterial: M i � <br /> Gallons of Grout Used: �\ Ib sl MATERIALS/DEVELOPMENT <br /> �) 5 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 /> ❑ Gravity OTremie ❑Other: Type of Method: <br /> Water Cemen 471b Water Cement 941b <br /> allons Ba gallons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest tlBags 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 /> 15;L 3 1, 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 />