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�`- . SANJOAQUIN <br />LoL-' COUNTY <br />Greatness arbrrs here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: / 6, <br />Date: Inspector: All Esc. <br />Premise Address: 74'777 /1i•�,�// 2� <br />W P#: JF GL'% 3 %jf1.6 <br />Well#: g5' <br />Soil Boring#: <br />Drilling Company: J4l�r <br />Driller Onsite: Ay� <br />Consultant: X/0- Z; W/- <br />Geologist: R��r <br />Public Water System Onsite: ❑ Yes KNo <br />Domestic Well Onsite: <br />If yes, location and distance: <br />❑ Yes <br />P4.No <br />SAMPLING <br />Filter Pack From: <br />Cement 94 lb <br />Bags <br />Holding Temperature: <br />#Bags <br />Thickest Thinnest <br />Method: <br />2.5 <br />5 <br />Screening Method: <br />5 <br />10 <br />Verified Chain of Custody: <br />❑ Yes <br />[]No <br />SPOILS <br />10 <br />20 <br />Contamination Noted: <br />❑ Yes <br />❑No <br />If yes, spoils storage Location: <br />15 <br />30 <br />Covered: <br />❑ Yes <br />❑No <br />If yes, material: <br />20 <br />40 <br />GROUTING or DESTRUCTION Total Depth: r�}} <br />Depth to Water:_ / ( <br />Grout Material: AA?;L, <br />_ Cer".r /J <br />Gallons of Grout Used: kp< 471h C4-4- <br />"A <br />el,i w e)e' 1C -j Q ' er- <br />)Z[Nell Installation Well Destruction <br />❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />41ressure Grout ❑Over Drill <br />❑ Gravity ['.Tremie ❑Other: <br />Water <br />ailons <br />)(Yes ❑No <br />Cement 471b <br />Ba <br />Water <br />q.,allons <br />Filter Pack From: <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />30 <br />60 <br />6 <br />17.5 <br />35, <br />35 <br />70 <br />7 <br />20 <br />40 <br />40 <br />90 <br />a <br />CONSTRUCTION <br />I <br />Total Depth: 2 D <br />Drilling Rig Type: <br />,4— <br />Min 2" Annular Seal Verified:, <br />)(Yes ❑No <br />Screen Length From: <br />To: Z51 <br />Filter Pack From: <br />To: 7-3 � <br />Bentonite From: ZS�� <br />Grout From: <br />To: Z-1 / <br />To: el <br />COMPLETION ❑ Stove Pipe (RChristie Box <br />MATERIALS/DEVELOPMENT <br />Casing Type: t" UL <br />Blank Z S' Feet Screen So Feet <br />Slot Size: <br />Bags of Cement: <e <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: 9 iv►� <br />Type of Method: <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 />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />