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SAN JOAQUIN Environmental Health Department <br /> — —COUNTY— <br /> Greatness grows here. <br /> / Monitorinng, Well/Soil Boring Inspection Report <br /> Date: �! �/ / Inspector: CONSTRUCTION d <br /> Facility Address: I'( b OO E FY�G¢._rY S4- 011 . <br /> 11 . 9 � G f <br /> Well Address: Total Depth: llll I <br /> WP#®63 7 Well#: Drilling Rig Type: �/tSSf TtS� 61t OihD-4w <br /> Soil Boring#: 'D16— D III i) I <br /> Drilling Compan ;d; Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: —V- k <br /> Screen Length From: To: <br /> Consultant: u Filter Pack From: To: <br /> Geologist: (��! �!e— <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 El No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION CLOMP EnciN <br /> Method: GmndSurfaos "'+ <br /> Screening Method: 6: 2-6 ( grout <br /> Verified Chain of Custody: ❑ Yes El Nog Ir it. <br /> � <br /> I n.: 2 n. _ <br /> SPOILS <br /> e <br /> Contamination Noted: ❑ Yes ❑No'p 9 S r <br /> If yes, spoils storage Location: <br /> aacdon _ <br /> Covered: ❑ Yes ❑No ID11 S 4 _ grz�s+p..k <br /> If yes, material: 115 r j `DI S : 025 <br /> GROUTING or DESTRUCTION Total Depth: 1 1 ✓C�/ '�• __ <br /> Depth to Water: n0Vt , <br /> Grout Material: /�/�(i>l�' f MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 0.4(O Vt-S . <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Size: <br /> ❑Boring Installation?(Boring Destruction Bags Slot Siziz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> Gravity ❑Tremie ❑Other: Type of Method: <br /> Water CemeA 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest uBags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 3%Mix <br /> 2.5 5 i 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 1 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 /> lovallS . <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 www.sicehd.com <br />