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SANJOAQUIN <br />L. COUNTY <br />Greatness grows here. <br />Monitoring <br />Date: la Inspector: <br />Facility Address: G70 1 Jusk-K ri3 <br />Well Addre:, <br />WP# OL) a rt— <br />Soil Boring#: <br />Drilling Company: Mddl lYti <br />Driller Onsite: y Consultant: — <br /> <br />k(A.K1 <br />Geologist: C.-5LS 7.,0 <br />Well#: <br />Environmental Health Department <br />CONSTRUCTION <br />) 5focicto vl <br />Total Depth: <br />Drilling Rig Type: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />Min 2" Annular EHD Seal Verified: CI Yes LINo <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />Well/Soil Boring Inspection Report <br />Public Water System Onsite: D Yes ON° COMPLETION 0 Stove Pipe 0 Christie Box <br /> <br />Domestic Well Onsite: LI Yes <br /> <br />ON° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: CI Yes 0No <br />SPOILS <br />Contamination Noted: LI Yes ON° <br />If yes, spoils storage Location: <br />Covered: 0 Yes ONo <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: rc I t <br />Depth to Water: I <br />Grout Material: in <br />Gallons of Grout Used: <br />OULtrc <br />trokl(01^-) <br />OWell Installation El Well Destruction <br />0Boring Installation oring Destruction <br />METHOD USED <br />DPressure Grout 00ver Drill <br />XGravity DTremie DOther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest 0 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 5 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 />casing <br />height <br />CF STY-BOX <br />COMPLETION <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 />10/16/2017 <br />ABOVE-GROUND <br />COMPLETION <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com