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SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Uopotness grows hero. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: $'6-& Inspector: Ar*1!Cw- CONSTRUCTION <br /> Facility Address: 3SIo0 (4!!�j 33 <br /> Well Address: Total Depth: <br /> WP#09409U3 Well#: Mw4)e Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: Cot.trdd Screen Length From: To: <br /> Driller Onsite: Daw Filter Pack From: To: <br /> Consultant: Poo K Bentonite From: To: <br /> Geologist: 6f 4 c- Grout From: To: <br /> Public Water System Onsite: ❑Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO casing <br /> -- hal9ht <br /> If yes, location and distance: —EWT <br /> SAMPLING ABOVE-GRO D C161IM-BOX <br /> 00WLETION COMPLEnoN <br /> Holding Temperature: C3rw nd s d,�e <br /> Method: ^ Grout <br /> Screening Method: <br /> ft. <br /> Verified Chain of Custody: ❑Yes ❑No tt. <br /> SPOILS <br /> r <br /> Contamination Noted: ❑Yes []No <br /> If yes,spoils storage Location: .lotted S <br /> is 1fS� secdon <br /> Covered: ❑Yes ❑No ld _ w.Vetraac <br /> If yes,material: v�r tG <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: -A 4 K t n <br /> Grout Material: Nlaf- tew►at`' MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: Casing Type: <br /> ❑Well Installation XWell Destruction Blank Feet Screen Feet <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 /> ❑ Gravity 211remie ❑Other: <br /> Type of Method: <br /> ce nt 471 Water cement 341b <br /> allons anon: aeags BentonitetCement Mix 3%Mix 5%Mix <br /> Thickest Thinnest #Bags Thickest Thinnest <br /> zs 5 1 s 10 1 Bentonite per 47 lb 1 1.411 2.47 <br /> s 10 2 10 20 2 Bentonite per 94 lb 1 2.82 4.7 <br /> ZS 15 3 1s 3o 3 <br /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 151 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 1 40 I B 40 00 3 10/16/2017 <br /> N 1tD zt <br /> 1868 E. Hazelton Avenue I Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www sicehd.com <br />