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' SAN JOAQUIN <br />--COUNTY— <br />Greatness grows here <br />Monitoring Well/Soi <br />Date: Inspector: ;,(_AA1 \ (6 <br />Facility Address: Z�A t !� S 1– <br />Well Address: <br />W P # ",0 Well#: <br />Soil Boring#: (� <br />Drilling Company: \f �� dl� t I (� ✓�( <br />Driller Onsite: �- <br />Consultant:CZP(��J;_�✓\ COiJ�SU �U <br />Geologist:y L SCJ <br />Public Water System Onsite <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature <br />Method: <br />Environmental Health Department <br />Boring Inspection Report <br />CONSTRUCTION <br />Total Depth: _ <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />From: <br />Filter Pack <br />From: <br />Bentonite <br />From: <br />Grout <br />From: <br />❑ Yes 11 No COMPLETION ❑ Stove Pipe <br />❑ Yes ❑ No <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />cDnii c <br />Contamination Noted: ❑ Yes El No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If t I <br />❑ Yes ❑No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />height <br />A80VE-GROUND CJ ffiSTY-80X <br />COMPLETION C_'WPLETICN <br />Ground Surtac+ <br />groin <br />n. <br />n. <br />n. <br />v — <br />_. m <br />sbttnd = � <br />= gavel r--cX <br />yes, ma e1 . <br />1 <br />GROUTING or DESTRUCTION Total Depth:_I5�'LC'i/ ZUII lob <br />Depth to Water:—n o L^jCt4 P" tt' <br />Grout Material: (ia V�)4-1 MATERIALS/DEVELOPMENT <br />Gallons of Grout Used: `7 -. a <br />Casing Type: <br />❑Well Installation ❑Well Destruction Blank Feet <br />El Boring Installation,®.Boring Destruction <br />METHOD USED <br />❑Pressure Grout []Over Drill <br />❑ Gravity ❑Tremie ❑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 />VBags <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 />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 />n. <br />Screen Feet <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.sicehd.com <br />