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SANJOAQUIN <br /> t' Environmental Health Department <br /> Gi-eQtlie yra �vs here . <br /> Monitoring Well /Soil Boring Inspection Report <br /> Date : <1 7/4 Inspector : C(Ce CONSTRUCTION <br /> Facility Address : 2O mm o 2 :" Ked"'© �^�` `51) � <br /> Well Address : Total Depth : <br /> WP # C ) C) l 3 Well # : .TV — Drilling Rig Type . <br /> Soil Boring# . Min 2" Annular EHD Seal Verified : ❑ Yes ❑ No <br /> Drilling Company : <br /> Driller Onsite : Screen Length From : To : <br /> Consultant : (, Filter Pack From : To : <br /> Geologist : "� 2aV -t1 '3'� 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 casing <br /> If yes , location and distance : height <br /> SAMPLING ABOVE-GROUND c DUSTY-13ox <br /> Holding Temperature . COWL = ION CrOMPtEnON <br /> Method , Grcxind SurFaas " <br /> Screening Method . <br /> Verified Chain of Custody : ❑ Yes ❑ No mmommmmi ft• <br /> fel. <br /> SPOILS <br /> Olt <br /> Contamination Noted : ElOft <br /> Yes Yes ❑ No i" <br /> 10 <br /> If yes, spoils storage Location : �� ++ �� �� =: <br /> s++orted yr <br /> :r <br /> Covered : ElYes El No cn . <br /> If yes , material : <br /> GROUTING or DESTRUCTION Total Depth : � 10 <br /> Depth to Water : V ' ------- `� - <br /> Grout Material : on Qr, +0 MATERIALS DEVELOPMENT <br /> Gallons of Grout Used : 410 <br /> Casing Type . <br /> ❑ Well Installation is Destruction Blank Feet Screen Feet <br /> 00 <br /> Slot Size : <br /> ❑ Boring Installation ❑ Boring Destruction Bags of Cement : <br /> METHOD USED Bags Sand/Gravel : <br /> ❑ Pressure Grout ❑ Over Drill Type/ Brand of Bentonite : <br /> Filter Pack Type/Size : <br /> ElGravity `fS. remie ❑ Other : Type of Method : <br /> Water cement 471b Water Cement 941b <br /> gallons Bas lqull ons Bags <br /> Thickest Thinnest # Bags Thickest Thinnest # Bags Bentonite/Cement Calix 3 % Mix 5 % MIX <br /> 2. 5 5 1 s 10 1 Bentonite per 47 Ib 1 .41 2 .47 <br /> MMOO,WOs 10 z 1a 20 z Bentonite per 94 Ib 2 . 82 4 . 7 <br /> 75 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 3 1 40 80 8 <br /> 10/ 16/2017 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 - 3420 F 209 464- 0138 www . sicehd . com <br />