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SANJOAQUIN <br />Environmental Health Department <br />—COUNTY— <br />Careatness grows here. <br />/ / Monitoring /Well/Soil Boring Inspection Report <br />Date: _(Gl 2 Inspector: 5L"S �rU� I CONSTRUCTION <br />Facility Address: 0y f Z76Z rj yl e-rS j) S t,D CKtO <br />Well Address: Total Depth: <br />WP#_o U Well#: Drilling Rig Type: <br />Soil Boring#: 2 F' Z —04 Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br />Drilling Company: C y -e Gy <br />Driller Onsite: <br />Screen Length <br />From: <br />To: <br />Consultant: ZLj CM 2 eV <br />Filter Pack <br />From: <br />To: <br />Geologist: i j L <br />Bentonite <br />From: <br />To: <br />3 <br />Grout <br />From: <br />To: <br />Public Water System Onsite: ❑ Yes ❑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: ❑ Yes El No <br />SPOILS <br />Contamination Noted: ❑ Yes El No <br />If yes, spoils storage Location: <br />Covered: kYes ❑Nc <br />If yes, material: 5- ee, <br />GROUTING or DESTRUCTION Total Depth: y S <br />Depth to Water: I / <br />Grout Material: CGS+ Ct'(-7e-K1 <br />Gallons of Grout Used: a �� <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />3% Mix <br />Cement 471b <br />Bags <br />Water <br />Rallons <br />1.41 <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />._2.5 - - -: <br />S 10 <br />#Bags <br />---- �- -- <br />2 <br />Thickest Thinnest <br />--- - - 10 <br />10 20 <br />tlBags <br />---_ J. _ <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />125 <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 />MATE RIALVDEVELOP MIENT <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 />ft. <br />Screen Feet <br />Bentonite/Cement Mix <br />3% Mix <br />5% Mix <br />Denioniie per 4Y Ib - <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2.82 <br />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.sicehd.com <br />