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�'�JA <br />Ic0.ku <br />SAN_dOAQUIN Environmental Health Department <br />COUNTY <br />Greatness <br />OUNTYGreatness grows here. <br />Monitoring Well/Soil Boring Inspection Report -rk`P <br />Date: ItA A 0 Inspector: CONSTRUCTION 0 A she 10 <br />Facility Address: � i, L0. IhQ1-!_S_ / 6-(x SI-Er� f I ' 41, 9 <br />Well Address: r1 Total Depth: \ ( Wrt,�(i -N) fb <br />WP# 0 U _:�' " - J 4- Well#: <br />Soil Boring#: (�:{ <br />Drilling Company: S•Jrz <br />Driller Onsite: <br />Consultant: O e <br />Geologist: <br />Public Water System Onsite: ❑ Yes ❑No <br />Domestic Well Onsite: ❑ Yes ❑No <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 />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />Drilling Rig Type: <br />_ <br />� <br />b <br />Thickest Thinnest <br />kBa s <br />Thickest Thinnest <br />#Bags <br />Min 2" Annular EHD Seal Verified: <br />El Yes ❑No <br />5 10 <br />r, <br />5 10 <br />10 20 <br />Screen Length <br />From: <br />To: <br />15 30 <br />Filter Pack <br />From: <br />To: <br />20 40 <br />Bentonite <br />From: <br />To: <br />25 50 <br />Grout <br />From: <br />To: <br />r <br />COMPLETION <br />❑ Stove Pipe <br />❑Christie Box <br />35 70 <br />If yes, material: / y, r I <br />GROUTING or DESTRUCTION Total Depth: `41 t) <br />Depth to Water: <br />Grout Material: Vy��_,�a1a_ <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation *oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity�Tremie u'- ❑Other: <br />1'1 SR <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />Rallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />kBa s <br />Thickest Thinnest <br />#Bags <br />2.5 5 <br />1 <br />5 10 <br />1 <br />5 10 <br />10 20 <br />2 <br />7.5 15 <br />3 <br />15 30 <br />3 <br />10 20 <br />4 <br />20 40 <br />4 <br />12.5 25 <br />5 <br />25 50 <br />5 <br />15 1 30 <br />6 <br />30 60 <br />6 <br />17.5 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />8 <br />40 80 <br />8 <br />casing <br />height <br />-T —WW7F <br />ABOVE -GROUND CtoltS N43OX <br />COMPLETION COMPLETION <br />Ground surface <br />grout <br />ft. <br />tt. <br />ft. <br />— o <br />— w <br />— o <br />slottad = c <br />sacdon <br />grays, PaCK <br />MATERIALS/DEVELOPMENT <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 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.s4cehd.com <br />