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p,Q'_rry <br />SANJOAQUIN <br />--- COUNTY ---- <br />Environmental Health Department <br />Greatness grows here 1 ,,W 3V-6 <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 23 Z Inspector:'J40qs, <br />Facility A dress: (SSI <br />Well Address: <br />WP# U Well#: <br />Soil Boring#: <br />Drilling Company: Ul}r'(C'J�i �JCj� CXR4 Uh <br />Driller Onsite: �G�C <br />Consultant: <br />Geologist: eev), <br />Public Water System Onsite: <br />Domestic Well Onsite <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <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 ❑No COMPLETION ❑ Stove Pipe <br />❑ Yes ❑ No <br />❑ Yes ❑ No ` <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />To: <br />To: <br />To:— <br />To:— <br />El <br />o:To: <br />❑Christie Box <br />If yes, material: <br />Ba <br />lZall ons <br />GROUTING or DESTRUCTION Total Depth: <br />Bags <br />Thickest Thinnest <br />4Bags <br />Depth to Water:—I <br />tt <br />2.5 <br />5 <br />1 <br />Grout Material: <br />Gallons of Grout Used:asing <br />MATERIALS/DEVELOPMENT <br />1 <br />Type: <br />❑Well Installation ❑Well Destruction <br />ktyk 'Blank Feet <br />El Boring Installation XBoring Destruction <br />Slot Size: <br />\\ Bags of Cement: <br />METHOD USED <br />5 \ Bags Sand/Gravel: <br />❑Pressure Grout ❑Over Drill <br />i S> ^' Type/Brand of Bentonite: <br />�� - Filter Pack Type/Size: <br />Gravity ❑Tremie ❑Other: <br />\OKI <br />l Type of Method: <br />3 <br />�� V <br />Water C t 471 <br />Water <br />Cement 941b <br />40 <br />allons <br />Ba <br />lZall ons <br />Bags <br />Thickest Thinnest <br />4Bags <br />Thickest Thinnest <br />7t 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 V <br />15 <br />30 <br />3 <br />10 <br />204 <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 />ft. <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.secehd.com <br />