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SAN JOAQUIN Environmental Health Department <br />1" Cilk- —COUNTY <br />:9P Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: "7'Lt Inspector: Ait- A •` <br />Facility Address: <br />Well Address: <br />WP# Ctf>yZW_K Well#: <br />Soil Boring#: 6/ td R7 �J <br />Drilling Company: a/l8� fcm¢ t5cp. <br />Driller Onsite:,��,olri <br />Consultant: R'j"I5t C. .L <br />6 <br />Geologist: NQ i -"— <br />Public <br />-"- <br />Public Water System Onsite: ❑ Yes ❑No <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑No <br />❑ Yes <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br />Screen Length <br />From: <br />To: <br />Filter Pack <br />From: <br />To: <br />Bentonite <br />From: <br />To: <br />Grout <br />From: <br />To: <br />COMPLETION ❑ Stove Pipe ❑Christie Box <br />casing <br />height <br />1180YE-GROUND CHRIS1'Y480X <br />COWLETJON COMPLETION <br />Ground sutx..-+--- <br />grout <br />fi. <br />ft. _ <br />- — m <br />C <br />_ O <br />�y r sacdon — <br />❑ N O Z he n' O � <br />t L , l ^" _ <br />GROUTING or DESTRUCTION Total Depth: S -S. <br />Depth to Water: /vd �.✓ tt. ft. <br />Grout Material: y <br />Gallons of Grout Used: 7,08 b' %.ue(o.t«�4 MATERIALS/DEVELOPMENT <br />Casing Type: <br />❑Well Installation ❑Well Destruction Blank Feet <br />�* Slot Size: <br />❑Boring Installation N Boring Destruction Bags of Cement: <br />METHOD USED G� AyL Bags Sand/Gravel: <br />❑Pressure Grout ❑Over Drill ,� Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Gravity ❑Tremie ❑Other: Type of Method: <br />Water <br />allons <br />Cement 471b <br />Water <br />izall ons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />kBags <br />Thickest Thinnest <br />9Bags <br />2.5 5 <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 30 <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 />t3 <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 I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sacehd.com <br />