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r°Po�. IU N C_. <br /> °%1 SANJOAQUIN Environmental Health Department <br /> —COUNTY— p <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: ``LSF,PZ 1P2-'J Inspector: CONSTRUCTION <br /> Facility Address: PI <br /> Well Address: mo Total Depth: <br /> WP# '(.t Well#: \mac �b� Drillin Rig Type: <br /> Soil Boring#: <br /> Drilling Company: 13 Min 2 Annular EHD Seal Verified: ❑ Yes ❑No <br /> Driller Onsite: Screen Length From: To: <br /> Consultant: 6AP oej-- Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: Yes ❑No Domestic Well Onsite: El Yes ZNo COMPLETION El Stove Pipe ❑Christie Box <br /> casing <br /> If yes, location and distance: T height <br /> SAMPLING ABOyg61ROUNp <br /> Holding Temperature: COMPLETION COmP.EMON <br /> Method: t3mnd sudac. <br /> Screening Method: Grout <br /> Verified Chain of Custody: ❑ Yes ❑Noft- <br /> ft. <br /> SPOILS ff. <br /> Contamination Noted: ❑Yes ❑No <br /> If yes,spoils storage Location: .= <br /> _ a <br /> Waned : <br /> sac. n = 8 <br /> Covered: ❑Yes ❑No <br /> PaCK <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: Nql------------- <br /> Depth to Water: —4:�' "� tf. JL <br /> Grout Material: t) <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation 0Well Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑ Slot Size: <br /> Boring Destruction Bags Size: <br /> Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout C�Over Drill Filter Pack Type/Size: <br /> ❑ Gravity ¢ITremie ❑Other: Type of Method: <br /> Water /Cement 471b Water Cement 941b <br /> Ilons Bags Rallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags Bentonite/Cement Mix 3%MIX 5% MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 292 10 20 2 <br /> 7.5 15 3 15 30 3 Bentonite per 94 Ib 2.82 4.7 <br /> 15 i <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 I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />