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SAN5 J0AQUIN <br /> z; Ernvir onrrnenU P eaRchi Department <br /> COUNTY <br /> Cif-?Qtness qrQws here, <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: \A- n��Inspector: fta, CONSTRUCTION <br /> Facility Address: \501.- p0gep�"yc <br /> Well Address: N !D k 5!K . Total Depth: 1IJD <br /> WP# Well#: 11-4- ti°` Drilling Rig Type: <br /> Soil Boring#: t'� IP <br /> Drilling Company: <br /> Min 2" Annular EHD Seal Verified: Yes ❑No <br /> _���1q,��C \ �''CiJ� <br /> Driller Onsite: Screen Length From: \1-\ To: Vo (o <br /> Consultant: '(�'� �.� Filter Pack From: To: <br /> Geologist: ;Qll1_ Bentonite From: To: <br /> Grout From: To: vA CA <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casa.ng <br /> If yes, location and distance: height <br /> SAMPLING v;_..PROUNn <br /> Holding Temperature: COhFLE N op�oN <br /> Method: <br /> Screening Method: gtort <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No � " <br /> If yes, spoils storage Location: <br /> soon <br /> - <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: ^ <br /> Depth to Water: <br /> Grout Material: _ N�i�� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> El Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ GravityITremie ❑Other: Type of Method: <br /> Water Cement 471b 'Hater Cement 941b <br /> allons Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags BentoniteXement 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 25 50 5 <br /> 15 30 60 6 <br /> 17.5 35 35 70 7 <br /> 2D 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.corn <br />