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pully <br />_'� c SAN. JOAQUIN Environmental Health Department <br />F< --COUNTY <br />cy�/r Greatness grows here. <br />2 Monitoring Well/Soil Boring Inspection Report <br />Date:10 J 4 Ins ector: CONSTRUCTION <br />Facility Address: l� <br />Well Address: Total Depth: 1 <br />GP <br />WP# I) q l`) Well#: Drilling Rig Type: 1 <br />Soil Boring#: 2 <br />Drilling Company: e� ��/� Min 2" Annular EHD Seal Verified: ❑Yes El No <br />Driller Onsite: t,t / Screen Length From: To: <br />Consultant: i {2. K L <br />Filter Pack From: To: <br />Geologist: Bentonite From: To: <br />Grout From: To: <br />Public Water System Onsite <br />Domestic Well Onsite: <br />If yes, location and distance: <br />CANAPI rnlr <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 E] No COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes <br />If yes, material: ��qq <br />GROUTING or DESTRUCTION Total Depth: �b5 <br />Depth to Water: 5 f <br />Grout Material: <br />Gallons of Grout Used: 2 =7 clo-Ai <br />[]Well Installation ❑Well Destruction <br />❑Boring Installation'r*oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity 7Tremie ❑Other: <br />casing <br />height <br />ABOVE -GROUND CHRIM43OX <br />C. - <br />i <br />ce-f2-, 1251 <br />Water <br />allons <br />CemenIb <br />Ba <br />Water <br />allons <br />Cement 941b <br />Baigs <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 5 <br />1 <br />5 10 <br />1 <br />5 10 <br />2 <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 />is 30 <br />6 <br />30 60 <br />6 <br />17.5 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />B <br />40 80 <br />8 <br />It lam( 4.-5 <br />1868 E. Hazelton Avenue <br />bol <br />ft. <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 />Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />