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SAN JOAQUIN <br />'Sae" Greatness grows here. <br />Environmental Health Department -< ) COUNTY-- <br />E Yes El No Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />casing <br />height <br />CHRISTY-BOX <br />COMPLETION <br />Ground Surface <br />grout <br />ft <br /> ft. <br />— ft. <br />slotted <br />Becton <br />ft. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: /23/1 InspectorDP-7'it)*— 4 - CONSTRUCTION <br />Facility Address: i 6 1--e, I 14/. Hwy ) 2_ <br />WellAddress: <br />WP# 00 I-1 / 6 %-1 —5 Well#: <br />Soil Boring#: 6 2_. <br />Drilling Company: C.0-36.0.-AQ__. r..--D <br />Driller Onsite: <br />r 1/1 i t is y . <br />Consultant: 4- e v) :,-TAL-._c_s - a I <br />Geologist: <br />Screen Length <br />krxii, Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: E Yes ENo <br />To: <br />To: <br />To: <br />To: <br />Public Water System Onsite: El Yes ENo COMPLETION 111 Stove Pipe EChristie Box <br /> <br />Screening Method: <br />Verified Chain of Custody: LI Yes El N o <br />SPOILS <br />Contamination Noted: LI Yes El N o <br />If yes, spoils storage Location: <br />Covered: LI Yes CI No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 6-3 <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: PN--) ult,4 <br />EWell Installation EWell Destruction <br />LI Boring Installation : oring Destruction <br />METHOD USED <br />EPressure Grout EOver Drill <br />0 Gravity <br /> <br />14(Tremie ElOther: <br />Water <br />gallons <br />Cemen{471b <br />Bags'---' <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest 4 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 SO 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <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 />1868 E Hazelton Avenue I StdCkton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com