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SAN OAQUIN <br />--COUNTY- <br />Environmental Health DepartmInt <br />Monitoring Well/Soil Boring Inspection Report <br />Date: w) I i Inspectpr: M45&&wt <br />Facility Address:05�5s Vb-, Sn;YPµ Ad <br />Well Address: <br />WP# 11)'N3 171 Well#: <br />Soil Boring#: A RZ <br />Drilling Company: ✓ 4. kJ <br />Driller Onsite: .4 <br />Consultant: stir. ei? 11<14-4 �sSvcr`a aS <br />Geologist: bc�,-[{ <br />CONSTRUCTION <br />Total Depth: _ <br />Drilling Rig Type: <br />yjr) <br />�t) !o bl? <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />From: <br />Filter Pack <br />From: <br />Bentonite <br />From: <br />Grout <br />From: <br />Public Water System Onsite: ❑ Yes 11 No COMPLETION ❑ Stove Pipe <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 El No <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 131 <br />Depth to Water: % <br />Grout Material: /10et ec�wr Py <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation XBoring Destruction <br />METHOD USED <br />Kpressure Grout ❑Over Drill <br />❑ Gravity KTremie ❑Other: _ <br />92- z-0 t <br />Water <br />allons <br />C nt 4 7 1 b <br />Ba <br />Water <br />allons <br />Cement 941b <br />Ba s <br />Thickest Thinnest <br />it sags <br />Thickest Thinnest <br />Jl6ags <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 50 <br />5 <br />15 30 <br />6 <br />30 60 <br />6 <br />17. S 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />8 <br />40 80 <br />8 <br />❑ Yes ❑No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />ft. <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 />ft. <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 />L bu)) <br />1 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 <br />10/16/2017 <br />www.s*cehd.com <br />