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ft <br />ft <br />gravtat pacit <br />SAN ,JOAQUIN <br />COUNTY <br />Greatness grows here <br />Environmer Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: \ tit/ Inspector: i—ov <br />Facility Address: ito lcv <br />Well Address: <br />WP# Well#: VvVai —z(71. <br />Soil Boring#: <br />Drilling Company: V4 6.J <br />Driller Onsite: <br />Consultant: Growb—A-- <br />Geologist: P.",10-4"Ai Dorf, <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes CI N o <br />To: <br />To: <br />To: <br />To: <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout <br />From: <br />Public Water System Onsite: 0 Yes 0No COMPLETION 0 Stove Pipe 0Christie Box <br /> <br />Domestic Well Onsite: 0 Yes 0No <br />If yes, location and distance: <br />casing <br />height <br /> <br />SAMPLING <br />Holding Temperature: <br />Method: <br /> <br />CHRSTY-40X <br />COMPLE119N <br /> <br />Ground Surf acit <br /> <br />P - <br />Verified Chain of Custody: El Yes 0No <br />R: 14 <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />0 Yes El No <br />0 Yes El N o <br />—f <br />stottad <br />itsclon Covered: <br />I I <br /> ft <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />GROUTING or DESTRUCTION Total Depth: g---1 <br />Depth to Water: <br />Grout Material: (,k— c <br />Gallons of Grout Used: <br />0Well Installation RGTell Destruction <br />0Boring Installation 0Boring Destruction <br />METHOD USED <br />0Pressure Grout Ott.--[er Drill <br />0 Gravity aMie 00ther: <br />If yes, material: <br />t <br />Screening Method: <br />Water <br />gallons <br />Cenient47Ib <br />Bags <br />Water <br />gallons <br />Cernent941b <br />Bags <br />Thickest Thinnest inags Thickest Thinnest 4 Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7,5 15 3 15 30 a <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 s AO 80 8 <br />BentonitelCement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue l Stockton, California 952051 T 209 468-3420 I F 209 464-0138 www.sicehd.com