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SAN-dOAQUIN <br />UIDAIIF;K;�:�COUNTY— <br />\c9c,voaFs�'' GI'P.O[nP.55 grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Repori <br />Date: Z Z Z (, Inspector: K,( CONSTRUCTION <br />Facility Address:_LLCl Zptn Z I a.31 ( S-1)XK <br />Well Address: Total Depth: <br />WP# ®� r1 % Well#: Drilling Rig Type: <br />Soil Boring#: 9-17- Min 2" Annular EHD Seal Verified: <br />Drilling Company: te. be Y_ <br />Driller Onsite: / t e- Screen Length From: <br />Consultant: Filter Pack From: <br />Geologist: �('G-�G-� <br />Bentonite From: <br />Grout From: <br />❑ Yes ❑No <br />To: <br />To: <br />To: <br />To: <br />Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />cpnii c <br />Contamination Noted: ❑ Yes El No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑ No <br />If yes, material: //'77 <br />GROUTING -or -DESTRUCTION Total Depth: --7'"S <br />Depth to Water:-ne.4�_ 6fN <br />Grout Material: , L7 <br />Gallons of Grout Used: ''— S -a?w <br />[]Well Installation []Well Destruction <br />El Boring Installatio ring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity �Memie ❑Other: <br />casing <br />height <br />ASOVE-GF WISID _T' <br />COWLETIQN COMPLETION <br />around surfacs +------ -- <br />grout <br />ft. <br />fi. <br />ft. _ <br />= o <br />sicn.d — <br />sac5cn <br />,drawl Pack <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank 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 />Screen Feet <br />BentoniteXement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />i r <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />Water <br />gallons <br />Cement 471b <br />Bas <br />Water <br />Rall ons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />;t Bag, <br />Thickest Thinnest <br />ll Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />s <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />a <br />40 <br />80 <br />8 <br />casing <br />height <br />ASOVE-GF WISID _T' <br />COWLETIQN COMPLETION <br />around surfacs +------ -- <br />grout <br />ft. <br />fi. <br />ft. _ <br />= o <br />sicn.d — <br />sac5cn <br />,drawl Pack <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank 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 />Screen Feet <br />BentoniteXement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />i r <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />