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SANAJAQUIN <br />COUNTY <br /> Environmental Health Department <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />E Yes ENo Verified Chain of Custody: <br />SPOILS <br />EWell Installation E Well Destruction <br />E Gravity 1Tremie ElOther: <br />E Stove Pipe LIChristie Box <br />casing <br />height <br />Date: \\\o\I-A Inspector: Ckranfr.. <br />Facility Address: <br />Well Address: c W. <br />WP# Well#: <br />Soil Boring#: %)- <br />Drilling Company: A-- <br />Driller Onsite: <br />Consultant: <br />Geologist: <br /> <br />LI <br />111 Yes No <br /> <br />Yes No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Contamination Noted: E Yes No <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />GROUTING or DESTRUCTIOr) Total Depth: 'I\ .5 , <br /> <br />Depth to Water: 1->k 2.-L"\° <br />Grout Material: <br />Gallons of Grout Used: ' 0 <br />E Boring Installation 'Boring Destruction <br />METHOD USED <br />E Pressure Grout EOver Drill <br />Water <br />gallons <br />Cement 47 lb <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinnest tt Bags Thickest Thinnest #Bags <br />2.5 5 1 s 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 4 20 40 4 <br />115 '('I' P 25 50 5 <br />15 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: LI Yes ENo <br />To: <br />To: <br />To: <br />To: <br />CHRISTY-PDX <br />COMPLETION <br />ft <br />ft <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 />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 Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjoehd.com <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />E Yes tINo <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: <br />From: <br />From: <br />From: <br />_ft <br />slotted <br />s•cdon <br />ft