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`1 <br /> o�pVIN cam\ <br /> SANsJ0A0UIN <br /> � ) Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> � - ZD20 Mon�oring Well/Soil Boring Inspection Report <br /> gf d`^5 <br /> Date: 'g-s- turd Inspector: nAafF CONSTRUCTION <br /> Facility Address: 3S/00 4416iw <br /> AW <br /> Well Address: Total Depth: <br /> WP#! z/d9'tC3 Well#: Mw Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: e"asz 9LWe <br /> Driller Onsite: Wets" ft- j j~S Screen Length From: To: <br /> � Filter Pack From: To: <br /> Consultant: A7,A"k !&!-IhAto-ewf� ( <br /> Geologist: �a 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 Y casing <br /> If yes,location and distance: -� height <br /> G <br /> SAMPLING ABOVEGROUND C11F11sMBOX <br /> Holding Temperature: OO6PLETION COMPLETION <br /> Method: <br /> orou dsuAac. <br /> i <br /> Screening Method: °10t1t <br /> Verified Chain of Custody: ❑ Yes ❑Non; <br /> SPOILS <br /> � . <br /> Contamination Noted: ❑Yes ❑No <br /> If yes,spoils storage Location: Ttud _ $ <br /> a�etlon 1.{j c <br /> Covered: ❑Yes ❑No = pnwl pads <br /> If yes, material: <br /> t o <br /> GROUTING or DESTRUCTION Total Depth: 5-0 <br /> Depth to Water: r � <br /> Grout Material: N « "f <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: y Casing Type: <br /> ❑Well Installation Well Destruction d� Blank Feet Screen Feet <br /> 9,0 G� Slot Size: <br /> ❑Boring Installation ❑Boring Destruction OLII,, Bags of Cement: <br /> METHOD USED NA gri A�. Bags Sand/Gravel: <br /> ❑ ❑ fi�Type/Brand of Bentonite: <br /> Pressure Grout Over Drill Filter Pack Type/Size: <br /> r7 <br /> ❑ Gravity efremie ❑Other: Type of Method:-Lt�ZOZd <br /> at er nt 4711 Water Cement 941b <br /> allon s gallons Be s _ <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags _BentonitelCemel7t Mix 3%MIX 5%MIX <br /> 2.5 5 1 5 to 1 Bentonite er 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Benlonite er 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 - <br /> `� SO 20 4 20 40 4 <br /> 25 5 25 50 5 <br /> is �y. y <br /> 15 30 6 30 60 6 �',�E A-W <br /> 17.5 35 7 35 70 7 l �� '1(f?!��pJ' / ""'- , <br /> 20 40 8 40 00 B 10 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />