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SANA0A0UIN <br /> Environmer ' Health Department <br /> C O U N T Y— <br /> �r <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: Inspector: �['N1 V-Lyy►i yv_ CONSTRUCTION <br /> Facility ddness: I C) A i <br /> Well Address: Total Depth: <br /> WP# 00-2)S 6 LL _Well#: Drilling Rig Type: <br /> Soil Boring#:SV-a �i Sy-a AC <br /> Drilling Company_-� , (_y,E--' , <br /> 1n Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: AA .&. C . Filter Pack From: To: <br /> Geologist: 7_1 C.AA-kl 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: j.a7T— <br /> height <br /> SAMPLING <br /> ,taCvt-GdoUNfl <br /> Holding Temperature: corFt>_nonCOMPoN <br /> Method: Groundsulx, <br /> Screening Method: oro<,t <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> ft. <br /> -ft. <br /> SPOILS <br /> `K <br /> Contamination Noted: ❑Yes ❑No <br /> If yes,spoils storage Location: <br /> sbr�d = <br /> n A <br /> s+c:o <br /> Covered: ❑Yes ❑No <br /> If yes, material: _ <br /> GROUTING or DESTRUCTION Total Depth:,:;LG 1 � 16. 2-0 <br /> Depth to Water: r-joyu-- M — ft <br /> Grout Material: tea_+ [ <br /> __Q I' MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well installation ❑Well.Destruction Blank Feet Screen Feet <br /> ❑Boring installation Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> /^ Filter Pack Type/Size: <br /> [I Gravity ❑Tremie Other: 7- �ia Type of Method: <br /> Water Cement 471b Water cement 941b <br /> gallons Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest sBags Bentonite/Cement Mix 30 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 /> 10/16/2017 <br /> 1368 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />