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SAN.)J0A0UIN <br /> Environmental Health Department <br /> —COUNTY— <br /> Greatness Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 3 C 2Z-C) Inspector: �Cl (fit CONSTRUCTION <br /> Facility Address: 10200 W SClnti �i� lr GiC l <br /> Well Address: J Total Depth: <br /> WP# c t)L-A Well#: Drilling Rig Type: <br /> Soil Boring#: C`' <br /> Drilling Company: -Fe-41-vu Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: LScreen Length From: To: <br /> F��o� t_" Filter Pack From: To: <br /> Consultant: ("(CYY1 V45 �"'maL Bentonite From: To: <br /> Geologist: Mw Lr'l"l, <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes 0N COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: height <br /> SAMPLING ABOVEGROUND <br /> Holding Temperature: CO�"F�ION COAMPLETTON <br /> Method: Ground Surf=* <br /> 1115M + <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No �tt' <br /> tt. <br /> tt. <br /> SPOILS ` <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: allotted <br /> aoclion <br /> Covered: ❑ Yes El No _ , w <br /> If yes, material: ' <br /> GROUTING or DESTRUCTION Total Depth: 6D __ <br /> IF <br /> Depth to Water: k,` "c-k <br /> �f�1t� <br /> Grout Material: NV c0 ('(f'- !nQ_tl <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation V Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity r.Tremie ❑Other: Type of Method: <br /> Water Cern471b Water Cement 941b <br /> gal lons Bas gallons Bags <br /> Thickest Thinnest 46ags Thickest Thinnest ttBags 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 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 1 30 6 30 60 6 <br /> 17.5 1 35 7 35 70 7 <br /> 20 1 40 8 40 8o 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />