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Mott Mw z8d coM ro f by <br /> SAN JOAQUIN �tjSftjqO *tVt---COUNTY-- Environmntal Htepat <br /> ,�;:�, a.,; And Aloiow Brij <br /> Monitoring Well/Soil Boring Inspection Report OA VII, 4000 <br /> Date: J� 25 Inspector: �SrAkclO5 CONSTRUCTION <br /> f' <br /> Facility Address: Z��fiOn ���� � � . � � N <br /> Well Address: Total Depth: <br /> WP# Ae sliw311 Well#: w Z Drilling Rig Type: $ <br /> Soil Boring#: <br /> Drilling Company: f,,nPcobe zty,*i conn , Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: Screen Length From: 1 3 To: CI <br /> Consultant: C `� Filter Pack From: \-Z\ To: <br /> Geologist: V-,(" Bentonite From:_— To:L_ <br /> Grout From:_ To: O <br /> Public Water System Onsite: El Yes ❑No COMPLETION ❑ Stove Pipe VChristie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes,location and distance: height <br /> 17 <br /> SAMPLING ABOYE-GRoUND <br /> Holding Temperature: COMPLETION crwls-rr-aox <br /> COMPLE]lON <br /> Method: Ground <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes E]No ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑Yes ❑No _- <br /> If yes,spoils storage Location: K' <br /> ■latter! nu <br /> Covered: ElYes ElNo an <br /> '. 9xm Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: =_ <br /> Depth to Water: n• _ tt. <br /> Grout Material: MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: 5a.AjL)le q(' <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen _Feet <br /> Slot Size: <br /> ❑Baring Installation ❑Boring Destruction Bags of Cement: '� <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 47 lb Water Cement 941b <br /> allons Bas SM11111 ons Bags <br /> Thickest Thinnest #Bags 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 /> 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 j 20 40 4 <br /> 12.5 25 5 j 25 50 5 <br /> 15 30 6 1 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 209 468-3420 1 F 209464-0138 I www.sicehd.com <br />