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SAN<JOAQUIN <br /> —COUNTY— Environmental Health Departmen <br /> Greotness gfervs <br /> Monitoring Well/Soil Boring inspection Report <br /> i <br /> Date: Inspector: , (s. , CONSTRUCTION <br /> Facility Address: '�S <br /> Well Address: \ h U R L jX11O,-xVW Total Depth: <br /> WP#_ bt,!:,�\ sAM Well#: 3 Drilling Rig Type: M-yh D'er9AA <br /> Soil Boring#: s L pr1� O F.til. <br /> �' W Min 2"Annular EHD Seal Verified: 1:1 Yes 171 No <br /> Drilling Company: (n t y,(rn(n 0?,"L J[tJU <br /> Driller Onsite: Screen Length From: A5 To: <br /> Filter Pack From: ( To:-- <br /> Consultant: W( uV,coso QGc�NC�v �` �— � <br /> Geologist: ��►�,��� Bentonite From: To: <br /> Grout From: N , To: 1 <br /> Public Water System Onsite: ❑ Yes VkNo COMPLETION ❑ Stove Pipe ❑Chr stie� q�( <br /> Domestic Well Onsite: ❑ Yes �No casing <br /> If yes, location and distance: height <br /> R EWT <br /> SAMPLING A80YE-41ROUND <br /> Holding Temperature: COLPLETION wwLLEnnoN <br /> Method: Grour)d Surface <br /> T <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑Nott• <br /> ft. it. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No = <br /> If yes,spoils storage Location: -= <br /> ssc�on <br /> Covered: ❑ Yes ❑No = <br /> _ ': �ravri pads <br /> If yes, material: ' — <br /> R TING or DESTRUCTION Total Depth: M <br /> epth to ater: — n <br /> Grout Material:Nkat efjAfJ `f MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation dSlot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> 41 Gravity ❑Tremie ❑Other: Type of Method: <br /> ' 1)Ova <br /> Water Cement 471b Water Cement 941b <br /> allons Bas aiions Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonlite/Cement MIX 3%MIX 5%MIX <br /> 2.5 5 1 s 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 1 40 80 8 <br /> 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 />