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;: <br />�� <br />'\ `,;�. _ <br />-. t:;i� ire, Cx��=•FY,./ <br />SAN 10AQUIN <br />COUNTY- <br />G+-euts� ss yrosys here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: � 2�" �� Inspector: c�G�,1�lr"1,(�,5 CONSTRUCTION <br />Facility Address: �-���,,,�1 e,(1'�Y20�1 ���QIA% <br />Well Address: � �(� 'i' <br />WP# G(���,��� Well#: <br />Soil Boring#: <br />Drilling ComK <br />Driller Onsite: <br />Consultant <br />Geologist: <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />Verified Chain of Custody: ❑Yes ❑ No <br />C�T7�1R� <br />Contamination Noted: ❑Yes ❑ No <br />If yes, spoils storage Location: <br />Covered: ❑Yes ❑ No <br />If yes, material: <br />4 <br />GROUTING or -DESTRUCTION -Total Depth: ��, - <br />Depth to Water: 'I� ar�G�� <br />Grout Material: ��r'� . <br />Gallons of Grout Used: ��� o yQ�,�� 6�,,1� . <br />--�T-�-� <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation,�]Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />� Gravity <br />❑Tremie <br />��� <br />❑Other: <br />Water <br />allons <br />Ce ent 471b <br />Bas <br />5% Mix <br />Water <br />allons <br />Cement 941b <br />Ba s <br />Thickest <br />Thinnest <br />ttBags <br />4.7 <br />Thickest <br />Thinnest <br />ttBags <br />2.5 <br />5 <br />1 � <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />,A <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 />8 <br />44 <br />80 <br />8 <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: <br />From: <br />From: <br />From: <br />❑ Stove Pipe <br />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />To: <br />- . <br />i <br />:. -. <br />�- :. <br />.. - <br />�. <br />//. <br />t� <br />❑Christie Box <br />��! <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 />tt. <br />Screen Feet <br />Bentonite/Cement Mix <br />3% Mix <br />5% Mix <br />Bentonite per 47 Ib <br />1.41 <br />2.47 <br />—. <br />. <br />4.7 <br />., ; <br />::�: <br />.,: <br />— <br />,A <br />_ <br />slatw�i <br />. <br />• N• <br />aeon <br />�-� <br />�.� <br />— <br />;� <br />_' <br />�? <br />�Fk <br />. ;S <br />tt. <br />� <br />— <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 />tt. <br />Screen Feet <br />Bentonite/Cement Mix <br />3% Mix <br />5% Mix <br />Bentonite per 47 Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2.82 <br />4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sicehd.com <br />