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SANJ0AQUINO <br />— COUNTY—- <br />Greutness grows he e. <br />Environment! Health Department <br />Monitoring Well/Sail Boring inspection Report <br />Date: Inspector: J c I ITS m <br />Facility dr ss: 6g9q WAderu y 20up <br />Well Address: S d4 -NE <br />WP# Ahw(1 l" Well#: - <br />Soil Boring#: <br />Drilling Company: l'nr--.,& J7ntt -r e� <br />Driller Onsite: iurillm -n) <br />Consultant: N P73 -h <br />Geologist: &AQ1D /&(,i� <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 />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />If yes, material: _ <br />GROUTING or DESTRUCTION Total Depih 3f hg <br />Depth to Water: Z i-' <br />Grout Material: %iJE L'EJ�tEn�7- <br />Gallons of Grout Used: 3 Sb <br />(well Installation ❑Well Destruction <br />/❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity remie ❑Other: <br />Water <br />Gallons <br />Cement 471b <br />Water <br />gall ons <br />Cement 941b <br />Baas <br />Thickest Tli <br />nest <br />Bag <br />Thickest Thinnest <br />Bags <br />2.5 <br />5 <br />1 <br />s 10 <br />1 <br />5 <br />10 <br />2 <br />10 20 <br />2 <br />7.5 <br />15 I <br />3 <br />15 30 <br />3 <br />10 <br />20 <br />4 <br />20 1 40 <br />4 <br />12.5 <br />25 <br />s <br />25 1 50 <br />s <br />15 <br />20 <br />6 <br />30 1 60 <br />6 <br />17.5 <br />35 I <br />7 <br />35 70 <br />7 <br />20 <br />40 <br />° <br />40 0 <br />9 <br />rOKIC"d I irTION] <br />ls5 369 <br />Total Depth: 3(} bots <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />COMPLETION ❑ Stove Pipe ❑Christie Bo)( <br />=1 I— <br />—T heigilt <br />MVI FLcEVON �i-ynflsa; Sox <br />��•«rt <br />I <br />s A <br />A p <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: 5 <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <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 952051 T 209 468-3420 1 IF 209 4.64-0138 1 www.secehd.com <br />