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SANJOAQUIN <br />J' <br />' - Environmental Health Department <br />• <br />�=`i'—COUNTY— <br />Greotness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Inspector: A*6Fm. <br />Facility Address: y(: f• rravf Lk X4 <br />Well Address: <br />WP# Well#: <br />Soil Boring#: 1, 3 , �{ <br />Drilling Company: 7/%'G6(pw <br />Driller Onsite: <br />Consultant: fief C e's6 <br />Geologist: /kris <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />CONSTRUCTION A/19• <br />Total Depth: — <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length From: <br />Filter Pack From: <br />Bentonite From: <br />Grout From: <br />❑ Yes []No COMPLETION ❑ Stove Pipe <br />❑ Yes ❑No <br />❑ Yes El No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />t <br />GROUTING or DESTRUCTION Total Depth: /3 <br />Depth to Water: /3t <br />Grout Material: Aky94 ems, e <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation (,$Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />wall ons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 <br />5 <br />1 <br />5 10 <br />1 <br />5 <br />10 <br />2 <br />10 20 <br />2 <br />7.5 <br />15 <br />3 <br />15 30 <br />3 <br />10 <br />20 <br />4 <br />20 40 <br />4 <br />12.5 <br />25 <br />5 <br />25 50 <br />5 <br />15 <br />30 <br />6 <br />30 60 <br />6 <br />17.5 <br />35 <br />7 <br />35 70 <br />7 <br />20 <br />40 <br />8 <br />40 80 <br />8 <br />❑ Yes ❑No <br />To: <br />To: <br />To. <br />To: <br />❑Christie Box <br />17 casing <br />height <br />ABOVE -GROUND <br />COMPLETION CHR7Y-SOX <br />COMPLET iON <br />GroundSurfaca .—Tj�'� <br />grart <br />9.^ o <br />0 <br />510n2JJ-..__O <br />J Yi <br />sac�on —' <br />sxz�+padc <br />ft. — ft. ---`• <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Type of Method: <br />Screen Feet <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <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.secehd.com <br />