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9 <br />SAN JOAQUIN <br />Environmental Health Department <br />("111C`r `t —COUNTY— <br />�` <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Inspector: t CONSTRUCTION <br />Facility Address: 3 o, -c -- k Be C i _ Q, Lodi - <br />Well Address: Total Depth: <br />WP# 00 .2�, �5 / (' Well#: Drilling Rig Type: <br />Soil Boring#: D (a <br />Drilling Compan Min 2" Annular EHD Seal Verified: El Yes ❑No <br />\! � t rI � In <br />Driller Onsite: Screen Length From: To: <br />Consultant: 0 Filter Pack From: To: <br />Geologist: _244��n Bentonite From: To: <br />Grout From: To: <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 COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />GROUTING or DESTRUCTION Total Depth::7� 6 <br />Depth to Water: y)0 (�G�-�-+°� <br />Grout Material: Y -U0,4- KPA^1 ;A1X <br />Gallons of Grout Used: 3r9 <br />❑Well Installation ❑Well. Destruction <br />❑Boring Installation ?(iloring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie '10ther:� <br />Water <br />gallons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 s <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 s0 <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 />i <br />15 <br />casing <br />height ' <br />ASOVE-4�RouND <br />CO&FLEMN Ci iFilSiY 80X <br />COMPLETjON <br />Grmjr d Scrfacs 7 <br />grout <br />n. <br />ft. <br />• <br />slangd <br />n <br />I — y�sysipadc <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 lb 2.82 4.7 <br />i <br />5 �a- ak-, �bQ _ 10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205�T 209 468-3420 1 F 209 464-0138 I www.sicehd.com <br />