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° = SAN JOAQUIN <br />� Environmental Health Department <br />" L —COUNTY <br />i <br />�S rFoaa;� Greatness grot, - i rc. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 10 Vj MAO,_ <br />Facility ddress: <br />nspector: <br />Well Address: <br />WP# <br />Well#: <br />Soil Boring#: <br />Thickest Thinnest <br />Drilling Company: <br />2.5 <br />Driller Onsite: <br />Ak <br />Consultant: <br />10 <br />Geologist: <br />5 <br />Public Water System Onsite: ❑ Yes El No <br />Domestic Well Onsite: V Yes ❑No <br />If yes, location and distance: ( \ten <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />cpnii r, <br />Contamination Noted: ❑ Yes El No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 7-A <br />Depth to Water: <br />Grout Material: <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 El Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />lRall ons <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 />6 <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 />9 <br />CONSTRUCTION <br />Total Depth: 30 <br />Drilling Rig Type: T67 d <br />Min 2" Annular EHD Seal Verified: Yes ❑No <br />Screen Length From: 'Z- 0 <br />Filter Pack From: To: 0 <br />Bentonite From:__ To: <br />Grout From: To:�_ <br />COMPLETION ❑ Stove Pipe Liristie Box <br />casing <br />height <br />A80YE-GROUND CHRISTY-BOX <br />COMPLETION ccMPLE-noN <br />Ground sumacs <br />grout <br />= — e <br />_.0 C <br />- O <br />sbttpd = � <br />ssc ion r <br />" . g-91 Pads <br />MATERIALS/DEVELOPMENT �� <br />Casing Type: <br />Blank 7_Feet Screen_ _ Feet <br />Slot Size: Z— // <br />Bags of Cement: S C� /b <br />Bags Sand/Gravel: b t s dL <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <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 />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 />