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SAN 10AQUIN <br /> Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: I c, kioau Inspector: K-Saey-ern CONSTRUCTION <br /> Facility Address: 141600 Rd <br /> Well Address: Total Depth: <br /> WP# QQ4045-V Well#: Drilling Rig Type: <br /> Soil Boring#: CPT -Al2> 1t6 <br /> Drilling Company:Middle &1V+1 Test•K•ia Min 2"Annular EHD Seal Verified: El Yes El No <br /> Driller Onsite: q� Screen Length From: To: <br /> Consultant: O Filter Pack From: To: <br /> [n&n _�-o"e Ecckh GcmAp <br /> Geologist: LArAWrca 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 /> 11 <br /> SAMPLING xsovE-GROUND <br /> Holding Temperature: cowLujoN COMP�t.EnOON <br /> C <br /> Method: Ground Safa" <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No ft• <br /> ft. <br /> ft. <br /> SPOILS <br /> a <br /> Contamination Noted: ❑ Yes ❑No r <br /> If yes, spoils storage Location: <br /> s{ottad _ _ 3 <br /> Covered: ElYes ❑No �n 7 = <br /> Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 150 <br /> Depth to Water: P36 JCA- <br /> Grout <br /> CkGrout Material: NeQk CeMft(lt" <br /> Gallons of Grout Used: :24.% cj(a\k0►x MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation []Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation�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 fATremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94 lb <br /> allons Bas alions Bags <br /> Thickest Thinnest ?+Bags Thickest Thinnest riBags 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 B AO 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />