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SAN�IOAQUIN Environmental Health Department <br /> '' —COUNTY <br /> c Greatness qrovvs here. <br /> // <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �(t ZZ Inspector: U1k s! cklCONSTRUCTION <br /> Facility Address: 19 3 Q(:) ( O elf e1rO1Dc�(tS , Sti GKfio11 I _/ <br /> Well Add re s: ) Total Depth: M D �/l� <br /> WP# (JLC Well#: Drilling Rig Type: I '�l G� yy <br /> Soil Boring#: <br /> Drilling Company: MC-365i� ( IMS �ti L , Min 2"Annular EHD Seal Verified: �Yes ❑No <br /> Screen Length From: To: <br /> Driller Onsite: <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From:U To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING AWVE-GRMNO <br /> Holding Temperature: CONPLETiON EriON <br /> Method: Ground Surface "'+ <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> ft. <br /> ft. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No '= <br /> If yes,spoils storage Location: _toned <br /> sac9on <br /> Covered: ❑ Yes El No <br /> If yes, material: <br /> �J <br /> GROUTING or DESTRUCTION Total Depth: 106 <br /> Depth to Water: — n- <br /> Grout Material: B eA'l'fU'n' <br /> Gallons of Grout Used: hw�y MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ll 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 /> ❑ Gravity XTremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Ba allons Bags <br /> Thickest Thinnest 9Bags Thickest Thinnest 7t Bags Bentonite/Cement Mix 3% Mix 3% Mix <br /> 2s 5 1 s 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 z 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 /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />