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= c SAKid 0A0UIN <br /> y _ <br /> COUNTY — Environmental Health Department <br /> °94P Greatness grows here. <br /> � <br /> Monitoring Well/Soil Boring Inspection Report <br /> i� <br /> Date: I2 "1 Inspector: � ,K`P�.� CONSTRUCTION H(�A- <br /> Facility Address: �(�'L -tY"v 1�1 <br /> Well Address: Total Depth: <br /> WP# 4p 3 Well#: Drilling Rig Type: <br /> Soil Boring#: l 1 _ <br /> Drilling Company: M6�, tk)l Min 2" Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: cJ <br /> —11XC v—. <br /> Screen Length From: To: <br /> p <br /> Consultant: Filter Pack From: To: <br /> .l�'T.��kCL <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: CO�`'F�ION c�LEnoN <br /> Method: Ground Surf=* <br /> Screening Method: grow <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> ft. <br /> ft. <br /> SPOILS a <br /> Contamination Noted: ❑ Yes ❑No =` <br /> If yes, spoils storage Location: sbnad s <br /> an <br /> Covered: ❑ Yes ❑No = g,'Pack <br /> If yes, material: 4` <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 'J ri f-t tL tt. <br /> Grout Material: i►'Ui <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity iTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941 <br /> gallons Bas allons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest 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 IS 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 35 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 7l 4&0 �� '°� V 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />