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c r SANdOAQUIN Environment— Health Department <br /> it-4l. `j —COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: t0/1-7/ta Inspector: 1�r k� CONSTRUCTION <br /> Facility Address: Gr.r 4 t-Ha"l �� <br /> Well Address: I')67 L C rrw' FLuIo✓ Cd Total Depth: <br /> WP#-o.&491S � Well#: -03 Drilling Rig Type: <br /> Soil Boring#: n Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: TYut Y rrjI ✓� <br /> Driller Onsite: Cv.1t u Screen Length From: To: <br /> , 10,E Filter Pack From: To: <br /> Consultant: <br /> Geologist: 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 casing <br /> If yes, location and distance: � height <br /> SAMPLING A9ovE-GRWISID ctwlsTi soX <br /> ON <br /> Holding Temperature: COWLETI COMPiE'rioN <br /> Method: Ground sula°, �— <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No <br /> n. <br /> SPOILS <br /> Contamination Noted: ❑ Yes ❑No =" <br /> If yes, spoils storage Location: •bn2d <br /> Covered: ❑ Yes ❑No ,aeon ` <br /> 70 _ ': ynvapaac <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 7^4—, <br /> Depth to Water: ft• tt. <br /> Grout Material: ✓ 4.� MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: 2,5-0 <br /> Casing Type: <br /> ❑Well Installation Lk Kell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> El Boring Installation El Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Groutf�er Drill Filter Pack Type/Size: <br /> El &Gravity remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Ba s vallons Bass <br /> Thickest Thinnest #Bags Thickest Thinnest 9Bags Bentoniteleement MIX 3% MIX 5% MIX <br /> nile <br /> 2.5 s 1 5 10 1 Bento er 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 941b1 2.821 4.7 <br /> 7.5 15 3 15 3o 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 s0 5 <br /> is 30 6 30 60 6 <br /> 12.5 35 7 35 70 g t{ t r6 <br /> 20 40 a 40 e0 e <br /> 'tj [L 103 �f I 10/16/2017 <br /> (p W1 `6 f V, i <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />