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Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: LI Yes IIINo <br />To: <br />To: <br />To: <br />To: <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout <br /> <br />From: <br />COMPLETION 0 Stove Pipe OChristie Box <br />casing <br />height <br />ABOVE-GROUND <br />COMPLETION C1-SOX <br />COMPLETION <br /> Ground Surfacs <br />grout <br />ft. <br />ft. <br />SANAAQUIN <br />COUNTY <br /> Environmental Health Department <br />GreatfleSSqr cws here <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Eb.3)/ S' Inspector: /..-.4•e" CONSTRUCTION <br />Facility Address: j 2-.1 0.4 c-.--+--- <br />Well Address: Total Depth: <br />VVP# ck)1whrtm <br />Soil Boring#: <br />Drilling Company: %-)0ocLi-rweck br , vs" <br />Driller Onsite: 3.o.Apv• <br />Consultant: ‘=oymia,,, <br />Geologist: sA_Ane-t.Ai-) <br />Public Water System Onsite: 0 Yes ENo <br />Domestic Well Onsite: LI Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes CI No <br />SPOILS <br />Contamination Noted: 0 Yes EINo <br />If yes, spoils storage Location: <br />Covered: 0 Yes EN° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: vs .f6 <br />Depth to Water: e-ti% <br />Grout Material: A.(44 0,e,yr4A-v43— <br />Gallons of Grout Used: 24,1 <br />LIE Well Installation EIll Destruction <br />EIBoring Installation Ill Boring Destruction <br />METHOD USED <br />Pressure Grout Ilk<er Drill <br />LI Gravity rl<mie 00ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest # Bags <br />2.5 5 1 5 10 1 <br />5 10 2 _ 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 s 25 50 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen 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 />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />Well#: Ti,J . <br />1e <br />10/16/2017 <br />1868 E. Hazelton Aven I Stockton, California 95q5 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.conn <br />lI. C0040,