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SANJOAQUINAQ <br />-COUNTY- - Environmental Health Department <br />—COU <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: -0 3 inspector:_jNhf}'SI­,Ej.— <br />Facility Address: Ija()% M. Trrc(- <br />Well Address: <br />WP# 00 -bK ? Well#: <br />Soil Boring#: �& A Z) Sj �A <br />Drilling Company: [ Pr <br />Driller Onsite: mvV'e <br />Consultant: <br />Geologist: <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth: 5-0 <br />Depth to Water: <br />Grout Material: Il►e,,,,,.4 (prr.l.w <br />Gallons of Grout Used: <br />[]Well Installation ❑Well Destruction <br />❑Boring Installation NBoring Destruction <br />METHOD USED <br />[)(Pressure Grout ❑Over Drill <br />❑ Gravity XTremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Baas <br />Water <br />RaI1111 ons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />9 Bags <br />Thickest Thinnest <br />4 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 />50 <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 />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 <br />Grout <br />rr1MPi PTION <br />From: <br />From: <br />❑ Stove Pipe <br />❑ Yes El No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />--rr-- casing <br />T height <br />t <br />ABOVE -GROUND Ct RtSTY SOX <br />Cahg'L�f�N COMPLETION <br />txound su-fxs <br />grout <br />ft. <br />tt. <br />= o <br />— o <br />slotted �: _ 3 <br />sac on <br />= g—s' pads <br />tt, — tt. <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 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />