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SAN JOAQUIN <br />COUNTY - <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: (.'7-20r Inspector: ililsfE� <br />Facility Address: 11'-16 Lc /Y.sr�oy LGt� <br />Well Address: <br />WP# 0&V2/= -S Well#: <br />Soil Boring#: /3/x,`3 �/, s _G <br />Drilling Company: _&tkc co.els•4 <br />Driller Onsite: .4-'boo»ter <br />Consultant: 'f'r /3 v.Ks <br />Geologist: 4'4 <br />Public Water System Onsite <br />Domestic Well Onsite <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No <br />CONSTRUCTION <br />Total Depth:_ <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br />Screen Length <br />From: <br />To: <br />Filter Pack <br />From: <br />To: <br />Bentonite <br />From: <br />To: <br />Grout <br />From: <br />To: <br />COMPLETION ❑ Stove Pipe ❑Christie Box <br />casing <br />lff�[T height <br />7 10— —QW -F <br />ABOVE -GROUND CHRLSTY-BOX <br />COWLETION COMPLETION <br />Ground surfac. <br />grout <br />ft. <br />it. <br />= e <br />If yes, spoils storage Location: Z 44'--y 1 : /6 alonad <br />• � r soon <br />El = B <br />Covered: Yes No �d� /s - i.;w P.,.k <br />If yes, material: �iar'lr '. 2 -3 - <br />GROUTING or DESTRUCTION Total Depth: ��i. j t CMf ? =_ <br />Depth to Water: 6;4d PkrdK SDC 2if �0 n• tt. <br />Grout Material: .✓ �tnt,, f �4''"��' <br />Gallons of Grout Used: MATERIALS/DEVELOPMENT <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation R6oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />VGravity 2frerpie ❑Other: <br />6fe, -ler /O rd.*/1,v. Ate <br />Water <br />gallons <br />Cement 471b <br />Bas <br />Water <br />allons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />4 Bags <br />Thickest Thinnest <br />4 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 />Casing Type: <br />Blank 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 />Screen Feet <br />Bentonite/Cement Mix 3% Mix 3% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />SO C I/ /jj 10/16/2017 <br />!% <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />