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a <br /> SANJOAQUIN Environmental Health Department <br /> —COU NTY— <br /> a�, �/ Greatness grows here <br /> Monitorin"g�,-Well/Soil Boring Inspection Report <br /> Date: f3 2020 Inspector: Sul�Yx� CONSTRUCTION <br /> Facility Address: 251 S {�we t qq Frain �� <br /> Well Address: Total Depth: <br /> WP# 009 o$I Well#: Drilling Rig Type: dtreCf Pas robe <br /> Soil Boring#: PZ 7 - `.� Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: CAI <br /> Driller Onsite: I Screen Length From: To: <br /> Consultant:_ Filter Pack From: To: <br /> Geologist: ���vi/ 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: height W7:F <br /> SAMPLING ABOVE-GROUND CHR__ <br /> Holding Temperature: COMPLETION COMPLETION <br /> Method: Ground Su facs <br /> Screening Method: ar«n <br /> Verified Chain of Custody: ❑ Yes ❑No —n' <br /> tt. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No — <br /> If yes, spoils storage Location: slonad <br /> aeon — 3 <br /> Covered: ❑ Yes El No _ <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: CJP 1- <br /> Depth to Water: ab✓ n n' <br /> Grout Material: rJulf <br /> Lallans of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring InstallationBoring 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 (/Cerhent 471b Water Cement 94 lb <br /> gall s Bas gall ons Bags <br /> Thickest Thinnest Thickest Thinnest aBags 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 /> be"i V�/2��"l) 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sicehd.com <br />