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SAN JOAQUIN <br />COUNTY <br />Environmental Health Department .e.:071;Ltip <br />••:i ea\ Greatness grows her, <br />ABOVE -G R C4JND <br />Cc MP LET ION cr-cpus-ry-sox <br />COMPLETICN <br />Monitoring Well/Soil Boring Inspection Report <br />Date: <br />IL_ <br />( i \ Inspector: A- <br />Facility ddress:' W <br />VVell Address: j. _5. C h(4. f-C S-t: ! . <br />WP#4011:Alg 79 Well#: 11A1W --1:312-- <br />Soil Boring#: <br />Drilling Company: 9, -i--,c,„.„- s,.,,-----,- ....s <br />Driller Onsite: 11,/11 y <br />Consultant: C1 4 <br />Geologist: VGL-r; <br />A <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: LI Yes ENo <br />Screen Length From: To: <br />Filter Pack <br /> <br />From: To: <br />Bentonite From: To: <br />Grout <br /> <br />From: To: <br />Public Water System Onsite: 171 Yes 111No COMPLETION El Stove Pipe 111 Christie Box <br /> <br />Domestic Well Onsite: E Yes ENo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: E Yes IIINo <br />SPOILS <br />Contamination Noted: E Yes EINo <br />If yes, spoils storage Location: 2A LA/ o s-f <br />casing <br />height <br />Covered: C71-1 \tA Ys IIINg vu244 <br />' <br />If yes, material: Art ii/ht.fcg toKi-A4 i c j <br />GROUTING or DESTRUCTION Total Depth:2 54-4 <br />Depth to Water: ' Li ll —L-15.-rf- 1 <br />4— Grout Material: <br />Gallons of Grout Used: <br />E Well Installation ell Destruction <br />E Boring Installation 111 Boring Destruction <br />METHOD USED <br />E Pressure Grout Over Drill <br />E Gravity *iaremie E0ther: <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 />Water <br />gallons <br />Cement 4711(..._:2 _.....) <br />Bags <br />water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest :Bags Thickest Thinnest # Bags <br />2.5 5 1 5 10 1 <br />5 10 ' 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 b 30 60 6 <br />17.5 35 7 35 70 7 <br />20 ,40 8 40 80 8 <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 />N- 509 13 015 <br />1868 E. I-1/azelton Avenue I Stooldon, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sIcehd.com <br />10/16/2017