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SAN�IOAQUIN <br />COUNTY— <br />Environmental Health Department <br />hreotness grows here. <br />3/231221 Monitoring Well/Soil Boring Inspection Report <br />Date: 3 1 z� Inspector: <br />" <br />Facility Address: 1 0 2 ( <br />Well Address: <br />Cement 941b <br />Bags <br />WP# <br />Well#- <br />Soil Boring#: <br />9Bags <br />Drilling Company: <br />d <br />Driller Onsite: <br />5 <br />Consultant: O <br />1 <br />Geologist: <br />1�-e <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 />canll c <br />Contamination Noted <br />If yes, spoils storage Location: <br />Covered: <br />CONSTRUCTION ,lH SA <br />Total Depth: <br />Drilling Rig Type: <br />_ Min 2" Annular EHD Seal Verified <br />_3/Z3�tl <br />Screen Length From: <br />Filter Pack From: <br />Bentonite From: <br />Grout From: <br />❑ Yes ❑No COMPLETION ❑ Stove Pipe <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />height <br />ABOVE -GROUND CHRISTY-BOX <br />CONFLETION CCMPLETION <br />Ground Surfact <br />QfOIlt <br />n. <br />n. <br />ft. <br />H _ <br />_ e <br />_ o <br />abttaC = c <br />aeon <br />_ . = gravwl Pack <br />If yes, material: <br />GROUTING or DESTRUCTION Total D pth: <br />Depth to Water: 2 y- n - <br />Grout Material: <br />Gallons of Grout Used: MATERIALS/DEVELOPMENT <br />C T <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation oring Destruction <br />METHOD USED //�� <br />❑Pressure Grout ❑Over Drill <br />fZ <br />Gravity XTremie <br />❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />9Bags <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 />30 <br />3 <br />10 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />asing ype. <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 Ib 2.82 4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />