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44 <br />SAN_.JOAQUIN <br />COUNTY— <br />Environmental Health Department <br />I` Kj <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: <br />Inspector: t3eA4,jajjn0Lyv__ <br />Facility ddress: //OX <br />Irl. %e,yjao_4n. <br />Well Address: <br />#Bags <br />W P# <br />We II#: <br />Soil Boring;#:_j3LAj_ <br />-7_F5 <br />Drilling Company: V <br />I LAJ 117'_)r� (1�XVv C <br />Driller Onsite: EKam <br />V_ <br />Consultant: <br />h ,j...,/JC <br />Geologist: <br />Public Water System Onsite: ❑ Yes []No <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: ❑ Yes ❑No <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If yes, material: <br />CONSTRUCTION <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 />COMPLETION ❑ Stove Pipe <br />casing <br />�� height - - <br />Aso+, -E -GROUND <br />t O&FL EMON cmtsrc-sax <br />COMPLETION <br />CxWnd SWacs <br />grout <br />ft_ <br />ft. <br />ft. _ <br />slonad <br />sac$on <br />❑ Yes ❑No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />GROUTING or DESTRUCTION Total Depth-bL.25 6 <br />Depth to Water: Y)OV%Z �• <br />Grout Material: ✓ 4r;4Cp...,PA�-} MATERIALS/DEVELOPMENT <br />Gallons of Grout Used: 10,. 413 y / I q <br />i Casing Type: <br />❑Well installation ❑Well.Destruction <br />❑Boring Installation ;4oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie Wther: Gr•�� <br />Water <br />gallons <br />Cement 471b <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 5 <br />1 <br />5 10 <br />1 <br />5 10 <br />2 <br />10 20 <br />2 <br />7.5 15 <br />3 <br />15 30 <br />3 <br />10 20 <br />4" <br />20 40 <br />4 <br />12.5 25 <br />5 <br />25 s0 <br />5 <br />15 30 <br />6 <br />30 60. <br />6 <br />17.5 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />8 <br />40 80 <br />8 <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 />_ BentonitelCement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />_,5 pal of wa4e - pe,�r ei5 10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, Cafifomia 95205 j T 209 468-3420 1 F 249 4640138 1 mvw.sicehd.com <br />