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SANaJOAQU�`w } Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �J I9 �(() Inspector: cS(Ahnett CONSTRUCTION <br /> Facility Address: 6-00 L9atj .G <br /> Well Address: •0*106060W Total Depth: <br /> WP# npzto(n2r Well#: Drilling Rig Type: <br /> Soil Boring#: RthJ -7,9 . 1 /61b ltR�il �� MW 3 <br /> Drilling Company: CuS�q, <br /> �— Min 2"Annular EHD Seal Verified: ❑Yes El No <br /> Driller Onsite: � Screen Length From: To: <br /> Consultant: flANICCOI 7w Filter Pack From: To: <br /> Geologist: Al^Wti <br /> 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: IIffT height <br /> FA— <br /> SAMPLING Aeove.caouND <br /> COWLETION COMPLETION <br /> Holding Temperature: carnrlErioN <br /> Method: Gmndsulac. �-- <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑Yes ❑No �N• <br /> N. <br /> SPOILS _ <br /> s <br /> Contamination Noted: ❑Yes ❑No = " <br /> If yes,spoils storage Location: <br /> Nc4on = 2 <br /> Covered: ❑Yes ❑No <br /> g-VIA Pack <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: '� I ( /� � � —ft. — N. <br /> Grout Material: NfAt Ce*&e/YL'y MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation El Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> ❑ Gravity Tremie []Other: Type of Method: <br /> Water ement 471b Water Cement 941b <br /> allons Ba s stations Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest wags Bentonite/Cement MIX 3% Mix 5% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 p 7 0 ay <br /> 12.5 25 5 25 50 5Ll� <br /> 15 30 6 30 60 6 Pp,W 61 <br /> 20 35 7 35 70 7 /* w-; f n <br /> G 20 40 B 40 BO B / <br /> M W , 2g 1 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 21 9 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />