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SANDJOAHIN <br />Environmental Health Department <br />—COUNTY— <br />c9,"� Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: S 2/ /4i Inspector: "Is 66"t <br />Facility Address: /ft a k} ld, <br />Well Address: <br />WP# r�g2pq Well#: <br />Soil Boring#: IR1 •RZ , 133 .fly <br />Drilling Company: L -UQ 2.a.,.. <br />Driller Onsite:IK%;Oy. <br />Consultant: W^* Xa— <br />Geologist: _ Qptn, % J-&ri <br />CONSTRUCTION <br />Total Depth: — <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />From <br />Filter Pack <br />From <br />Bentonite <br />From <br />Grout <br />From <br />Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />,AMPI INr, <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />SPOILS <br />Contamination Noted: ❑ Yes El No <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth: I() <br />Depth to Water: N!a (.,.J <br />Grout Material: N, kl- GevrKwi <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 MTremie ❑Other: <br />Water <br />ailons <br />Cement 471b <br />BasN20 <br />Water <br />ns <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />ttBags <br />Thinnest <br />stBags <br />2.5 <br />5 <br />1 <br />10 <br />1 <br />5 <br />10 <br />2 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />30 <br />3 <br />10 <br />20 <br />4 <br />40 <br />4 <br />12.5 1 <br />25 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />E <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <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 209 468-34201 F 209 464-0138 1 www.s'cehd.com <br />