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SAN JOAQUIN <br />-- COUNTY -—— <br />Environmental Health Department <br />/ Monitoring Well/Soil Boring Inspection Report <br />Date: Z / Inspector:` CONSTRUCTION <br />F 'I'It Add <br />act y ress. <br />Well Address: <br />Total Depth:�j It �� <br />WP# 0 C Well#: <br />Drilling Rig Type: 11,5&6 <br />Soil Boring#: .7 <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />Min 2" Annular EHD Seal Verified: El Yes ❑No <br />Drilling Company: <br />uBags <br />D(� ` <br />Driller Onsite: <br />Screen Length From: To: <br />Consultant: VjOgFilter <br />5 <br />Pack From: To: <br />Geologist: <br />Bentonite From: To: <br />10 <br />Grout From: To: <br />Public Water System Onsite <br />Domestic Well Onsite: <br />If yes, location and distance: <br />❑ Yes E] No COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑No <br />SAMPLING <br />Holding Temperature: <br />Method: ti <br />Screening Method: N / <br />Verified Chain of Custody <br />SPOILS <br />Contamination Noted <br />If yes, spoils storage Location: <br />❑ Yes ❑ No <br />❑ Yes YL__ <br />Covered: ❑ Yes ❑ No <br />If yes, material: <br />n <br />GROUTING or DESTRUCTION Total Depth: `J >j <br />Depth to Water: NJ a� <br />Grout Material: C b� <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation Cy�Boring Destruction <br />METHOD USED 1 <br />❑Pressure Grout ❑Over Drill <br />Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />eallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />kBags <br />Thickest Thinnest <br />uBags <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 />8 <br />casing <br />height <br />ABOVE -GROUND GNRSSTY BOX <br />COWPLETION COMPLETION <br />Ground Sumacs <br />grout <br />n. <br />tt. <br />o <br />atoned <br />a 'on — 3 <br />__ prav9l cacsc <br />n. = n. <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 952051 T 209 468-3420 1 F 209 464-0138 1 www.sacehd.com <br />