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SAN :�JOAQUIN <br /> Envir®nmler Health Department <br /> Greafness grns: her. <br /> 'nn Monitoring Well/Soil Boring Inspection Report <br /> Date: CY Inspector: CONSTRUCTION <br /> Facility Address:S-D W S Ar­'pL>r+ <br /> Well Address: Total Depth: <br /> WP# —1 Dj ,EW-3 Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: ?4mvLC* e. Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: N\6%4-- 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 <br /> casing <br /> If yes, location and distance: height: <br /> SAMPLING —Or_lp <br /> ,AWVS-GROUND C} S7Y 80X <br /> Holding Temperature: COWLEMN COfti1PLET10N <br /> Method: croundSWace <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes []No ft. <br /> n. <br /> VZ <br /> SPOILS ' <br /> Contamination Noted: ❑ Yes ❑No = b <br /> If yes,spoils storage Location: stoned : <br /> asction x <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: 32_�r it. = R. <br /> Grout Material: <br /> Gallons of Grout Used: I�� ���, MATERIALS/DEVELOPMENT <br /> ^/ Casing Type: <br /> ❑Well Installation LRWell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout CKOver Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity premie ❑Other: Type of Method: <br /> Water Cement 47 lb Water Cement 941b <br /> allons Bas imfll ons Bags <br /> Thickest Thinnest kBags Thickest Thinnest kBags Bentonite/Cement MIX 3%MIX 5%Mix <br /> 2.5 s 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> 10 2 10 20 2 <br /> 7.,5 15 3 15 30 3 Bentonite per 94 Ib 2.82 4.7 <br /> � <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 /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 1 www.sicehd.com <br />