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°\ SANAOAQUIN <br /> ( i _ Environmen.al Health Department COUNTY <br /> z- <br /> _c�4r°u���`/ Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: n'/9 Inspector: i 4z"2- • CONSTRUCTION <br /> Facility Address: z3a ar-.aid6111'al A .Q <br /> Well Address: Total Depth: <br /> WP# Pw31h-Z0 Well#:sap to Drilling Rig Type: <br /> Soil Boring#: <br /> �os�a a Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: <br /> Driller Onsite: t d Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> Geologist: -Tee 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 Cat,Lng <br /> If yes, location and distance: na>.yra: <br /> SAMPLING ABOVE-GROUND <br /> Tif2v <br /> Holding Temperature: OOWLET1ON COMPLEnoN <br /> Method: orou dsu racy —T-- <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes El No ! e 1✓are r Ar/k L�#. <br /> n. <br /> Jr- <br /> _n. <br /> SPOILS grO <br /> yn�O -5t boJs = p . <br /> Contamination Noted: ❑Yes ONO — <br /> If yes,spoils storage Location: r xlenaa ' <br /> •ocgon $ <br /> Covered: ❑Yes ❑No _ gmvw <br /> Pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> Grout Material: /09"Xc vr-en f <br /> Gallons of Grout Used: 1. 1 SK/la � MATERIALS/DEVELOPMENT <br /> �� Casing Type: <br /> q Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie QOther: fpee 46 U Type of Method: <br /> Water Cement 471b Water cement941b <br /> allons Bags allons Bags _ <br /> Thickest Thinnest #Bags Thkkest Thinnest #Bags _ Bentonite/Cement Mix 3% MIX 5% MIX <br /> 2.5 5 1 5 io 1 I Bentonite per47Ib I JAIIJ 2.47 <br /> 5 20 2 10 20 2 1 Bentonite per 94lb 1 2,821 4.7 <br /> 7.5 15 3 15 30 3 -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 />