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SAN JOAQUIN <br />COUNTY Environmental Health Department <br />< r <br />`.cgcFoa<?"` Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: ZI-ZL/ Inspector: KfSrEM <br />Facility Address: it r.,c%fr, ul n�ik Dr. <br />Well Address: <br />WP# M yl y3 Well#: <br />Soil Boring#: <br />Drilling Company: 64r 5%' /art YC.hy <br />Driller Onsite: �� <br />Or <br />Consultant: hJkjcw.rJ Gyes LIA <br />Geologist: <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />Public Water System Onsite: ❑Yes ❑No COMPLETION <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 />«rn�� <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑No <br />El Yes ❑No <br />GROUTING or DESTRUCTION Total Depth: 3"7 r <br />Depth to Water: 'LO I ppb 01 +.k <br />Grout Material: !) eg f Coivw&A4 <br />Gallons of Grout Used: <br />❑Well Installation CR( <br />Nell Destruction <br />:]Boring <br />Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity L_*Trem <br />ie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />5% Mix <br />W <br />all <br />Cement 941b <br />B� <br />Thickest <br />Thinnest <br />ttBags <br />4.7 <br />Thickest <br />Thinnest <br />riBags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />From: <br />From: <br />From: <br />From: <br />To: <br />To: <br />To: <br />To: <br />❑ Stove Pipe ❑Christie Box <br />casing <br />height <br />_ T <br />ASOVE-GROUND CHRISTY43OX <br />COWPLETION COMPLETION <br />Ground sumacv <br />grout <br />n. <br />tt. <br />= e <br />— o <br />slotted <br />sec9on — <br />grawl Pact <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank <br />Slot Size: <br />Ir <br />Bags oCement: <br />Feet Screen <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Feet <br />Bentonite/Cement Mix <br />3% Mix <br />5% Mix <br />Bentonite per 47 Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2082 <br />4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjcehd.com <br />