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AT <br /> SAN JOAQUIN <br />COUNTY <br />Greatness grows here <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 6"10— WM( Inspector: Mist€14^- <br />Facility Address: /WV Co.44.10 0 re' #4 <br />Well Address: <br />wp#„. qzto 7 Well: <br />Soil Boring#: at 6 a ir <br />Drilling Company: cer_eu", <br />Driller Onsite: S4evNt <br />Consultant: Kra 2-4010.^ <br /> <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes 0No <br />From: To: <br />From: To: <br />From: To: <br />From: To: <br />Geologist: (o,/1 <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />Public Water System Onsite: Yes 111No COMPLETION 0 Stove Pipe 0Christie Box <br /> <br />Domestic Well Onsite: <br /> O Yes EINo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />I <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: LI Yes LJNo <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: 20/ <br />Grout Material: 114.4"criek <br />Gallons of Grout Used: <br />0Well Installation 111 Well Destruction <br />0Boring Installation 2/Boring Destruction <br />METHOD USED <br />0Pressure Grout 00ver Drill <br />EI/G-ravity [t/remie 00ther: <br />tiO / <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest /nags Thickest Thinnest :nags <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 />ft <br />stoned <br />aecton <br />ft. <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 />casing <br />height <br />Ground Sudan <br />Yes 0No 3: id <br />2.... 154 _ft <br />i : 7 01 <br />0 Yes 111No I <br />ity0 <br />ft <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 />ev 1 P • 0'65#,--J'L ip' -- <br />04vilx .0=e <br />ay.( het6.... 10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com