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SANIJOAQUIN Environmenta, Health Department <br /> --COUNTY — <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date:(o tg Inspector: CONSTRUCTION <br /> Facility Address: C Rp/ <br /> Well Address: Total Depth: <br /> WP# nJJB'VjF Well#: eud -33 Drilling Rig Type: <br /> Soil Boring#: 2" Annular EHD Seal Verified: E] Yes []NoDrilling Company: l/ <br /> Driller Onsite: (a.,� Screen Length From: To: <br /> Consultant: ,�i'( � Filter Pack From: To: <br /> Geologist: ?i�,,,.d¢_ t ��w.rA,n. <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: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COWLETION CCOOMPLEON <br /> Method: Ground Surlacs <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> n. <br /> SPOILS : = a <br /> — a <br /> Contamination Noted: ❑ Yes El No <br /> If yes, spoils storage Location: siottnd = S <br /> s�cdon <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: Z-74 _ <br /> Depth to Water: to <br /> Grout Material: <br /> Gallons of Grout Used: 5b� MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation 112G/ell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation El Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill <br /> ,�� <br /> �� Filter Pack Type/Size: <br /> El [R Gravity remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest ttBags Thickest Thinnest NBags 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 /> �4 M1 vs 6`� 10/16/2017 <br /> ZZ "11 6 S. 6 .,)S - �l to a �wkr v� <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 2�9 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />