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SANJOAQUINO Environmelrl Health Department <br />C O U N T Y----- <br />G;eotness 9rcws hese- <br />Monitoring Well/Soil Boring Inspection Report <br />f14 119 <br />Cement 471b <br />Bags <br />Nater <br />Rall ons <br />Date:L) Inspector: S%`A- <br />CONSTRUCTION <br />Bags <br />Thickest Thinnest <br />Facility A dr ss: &JkO Wa} a k a.,l_T ,n �t4 isz <br />i <br />1 <br />Well Address: S&07 C7 <br />Total Depth: <br />1 <br />5 10 <br />WP# (I(\38 bqI Well#: M VV -4- <br />Drilling Rig Type: <br />20 <br />2 <br />Soil Boring#: <br />Drilling Company: G2E6G I'/tZLL1 iuL� <br />Min 2" Annular EHD Seal Verified: <br />El Yes ❑No <br />Driller Onsite: ]�,���y�q.� <br />Screen Length <br />From: <br />To: <br />Consultant: A PTZM <br />Filter Pack <br />From: <br />To: <br />Geologist: <br />Bentonite <br />From: <br />Z30.q b5S <br />To: <br />13 <br />6 <br />30 I <br />Grout <br />From: <br />To: <br />Public Water System Onsite: ❑ Yes E] No <br />COMPLETION <br />❑ Stove Pipe <br />❑Christie Box <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 />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: 300 <br />j Vell Installation ❑Well Destruction <br />❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ?<Zremie 1:1 Other: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Nater <br />Rall ons <br />Cement 941b <br />Baas <br />Thickest Thinnest <br />Bags <br />Thickest Thinnest <br />*"Bags <br />2.5 5 <br />1 <br />5 <br />10 <br />1 <br />5 10 <br />2 <br />10 <br />20 <br />2 <br />715 15 I <br />3 <br />15 <br />30 <br />3 <br />10 20 <br />4 <br />20 I <br />40 <br />4 <br />12.5 25 <br />5 <br />25 <br />50 <br />5 <br />15 30 <br />6 <br />30 I <br />60 <br />6 <br />17.5 35 I <br />7 <br />35 <br />70 <br />7 <br />20 40 <br />8 <br />40 <br />30 <br />9 <br />as; ng <br />x <br />height <br />—Q, R'11-1 <br />fR <br />i <br />CO&F E71<)N C f i^nt.5,i Boy <br />A <br />I <br />.E <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen 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 />BentonitelOement 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 F 209 464-0138 1 www.sicehd.com <br />