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SAN JOAQUIN Environmental Health Department <br /> " COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> u <br /> Date: �c Inspector: CONSTRUCTION I "y`` go_1-0 2t/� <br /> Facility Address: SSA IC1 OL', � J <br /> Well Address: Total Depth: <br /> WP# 3 1 Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: w Min 2"Annular EHD Seal Verified: El Yes 11 No <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: ' ✓ Filter Pack From: To: <br /> Geologist:_ `� 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 El No casing <br /> If yes, location and distance: IT�[T height <br /> R 10— —CFW-T <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLEfION COMPtEnCN <br /> Method: Ground Su lw* <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No �n- <br /> n. <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No — <br /> If yes, spoils storage Location: slotted <br /> Bacton — B <br /> Covered: ❑ Yes ❑No <br /> 9 *1 Pack <br /> If yes, material: x <br /> GROUTING or DESTRUCTION Total Depth: � = <br /> Depth to Water: M <br /> Grout Material: 6 E1'� l� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> ❑Boring InstallationSlot Size: <br /> '14Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> A, Filter Pack Type/Size: <br /> El , <br /> Gravity tTremie ❑Other: Type of Method: <br /> Water Cem nt 471b Water Cement 941b <br /> allons gallons Bags <br /> Thickest Thinnest 9Bags 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 /> s 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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />