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SAKOOA UIN <br />Q Environmenl*Health Department <br />—COUNTY— <br />r4 Greotness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />3//`f//8 - <br />447 -4J -+-A <br />Cement 471b <br />Bas <br />Water <br />eallons <br />Date: 31/6/19 Inspector: Ao✓q <br />CONSTRUCTION <br />#Bags <br />Thickest Thinnest <br />Facility Address: /77,'0 E, <br />%1±� A,, [„'-Z" <br />5 <br />� <br />5 <br />Well Address: se -ft? -e- <br />1 <br />Total Depth: /�1 <br />7 <br />2 <br />WP# oto -3-7,g VA <br />Well#: C. -6-8 <br />Drilling Rig Type: <br />0"W'C <br />15 <br />Soil Boring#: <br />wd� <br />�,-+`G�,'�.-� <br />Min 2" Annular EHD Seal Verified: <br />Yes El No <br />Drilling Company: c=.��e <br />20 <br />Screen Length <br />From: / � 7 <br />To: 1-7y <br />Driller Onsite: /,),I„�,°��( <br />Consultant: dr4n�i”,-f <br />r'a y <br />V,-" i<y� CPQ) <br />Filter Pack <br />From: /7 `/Y ' <br />To: 6��� <br />Geologist: <br />dj <br />Bentonite <br />From: %G',? <br />To: I S_ <br />30 <br />60 <br />Grout <br />From: /C'9 <br />To: 3 i <br />Public Water System Onsite: <br />❑ Yes 11 No <br />COMPLETION <br />,Stove Pipe <br />❑Christie Box <br />Domestic Well Onsite <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />❑ Yes ❑No <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />SPOILS <br />Contamination Noted: ❑ Yes 060 <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If yes, material: <br />ROUTINGr DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: il/ 6a-t�� <br />Gallons of Grout Used:9'd"o <br />[KWell Installation ❑Well Destruction <br />[]Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity KTremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />eallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />MATERIALS DEVELOPMENT <br />Casing Type:�� <br />Blank / Z'7' Feet Screen cam Feet <br />Slot Size: O_ P -Z <br />Bags of Cement: /az $ <br />Bags and Gravel: .2 <br />Type/Brand of Bentonite: ua-w a pig � <br />Filter Pack Type/Size: <br />Type of Method:'" <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.s*cehd.com <br />