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SAN JOAQUIN Environmentdl Health Department <br /> Gre°tneesssJgrows here. Spa,('/ <br /> Monitoring Well/Soil Boring Inspection Report V <br /> Date: Zv Inspector: LAq/ CONSTRUCTION <br /> Facility Address: oawv <br /> Well Address: Total Depth: <br /> �� ,l <br /> WP#I— . � Well#: 3 Drilling Rig Type: �f GNP <br /> Soil Boring#: f� Min 2"Annular EHD Seal Verified: ❑Yes ❑No JV� <br /> Drilling Company: C C E — Screen Length From: To: nn <br /> Driller Onsite: Filter Pack From: ToI VI 10�22 <br /> Consultant: 2%I b 1 Bentonite From: To: 1 <br /> Geologist: f ;r Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> ❑Yes ❑No -x —1 caein4 <br /> Domestic Well nd: _. height _ <br /> If yes,locationn and distance: <br /> SAMPLING ABovE.a;RCUNC OFigMW4BOx <br /> COMPLETION COMPLETICIN <br /> Holding Temperature: arWnd surlac.--�— <br /> Method: grout <br /> Screening Method: �_tt <br /> Verified Chain of Custody: ❑Yes ❑No tt• <br /> SPOILS <br /> jre <br /> Contamination Noted: ❑Yes ❑No ro <br /> If yes,spoils storage Location: 4lonaa ,� 8 <br /> Covered: ❑Yes ❑No = pravall o�ss ', <br /> If yes, material: <br /> GROUTING o ESTRUCTION otal Depth: <br /> Depth to Wa. r: <br /> Grout Material: 111 0124 MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: n 1Y Casing Type: <br /> ` p Blank Feet Screen Feet <br /> ❑Well Installation 'l�A/ell Destruction <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout Over Drill Filter Pack Type/Size: <br /> Type of Method: <br /> ElGravity ❑Tremie ❑Other: <br /> Water Cement 471b Water cement 941b <br /> Be s <br /> Ba s allons <br /> allons psags BentonitelCement Mix 3%Mix 5%Mix <br /> Thickest Thinnest pBagz Thickest Thinnest BentOrllle er47lb 1.41 2.47 <br /> 2.5 5 10 1 2.82 4.7 <br /> 5 10 2 10 20 2 Bentonite er 94 Ib <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 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 410 40 80 0 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.co <br />