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2 SAN 10AQUIN <br />COUNTY <br />`O9c,Foe .' Gieotness grows here <br />Environmental Health Department <br />,�,�����q Monitoring Well/Soil Boring Inspection Report <br />Date: inspector: `l %v- CONSTRUCTION <br />Facility Ad'dres's: 5 f - (i l '1 C) <br />Well Address: %% J Total Depth: <br />WP# 0014 Z g 3 Z Well#: T Drilling Rig Type: <br />Soil Boring#: W 2, j 2, <br />Drilling Company: (�p�, �h , Min 2" Annular EHD Seal Verified: <br />❑ Yes El No <br />Driller Onsite: <br />Screen Length <br />From: <br />To: <br />Consultant: <br />Filter Pack <br />From: <br />To: <br />Geologist: 1 S <br />Bentonite <br />From: <br />To: <br />S 10 <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 />CAAAPI INV -4 <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: c) wr <br />Grout Material <br />casing <br />height <br />ABOVE -GROUND CHRISTY43OX <br />COMPLETION COAAPLEnoN <br />Ground Surfan <br />grout <br />it. <br />n. <br />tt. <br />O <br />�w 1 <br />= o <br />slotted = c <br />sec�on "— <br />= Brawl pack <br />r I <br />3C)lu//d 3 <br />t1~ <br />Gallons of Grout Used: I , c MATERIALS/DEVELOPMENT <br />Casing Type: <br />❑Well Installation ❑Well Destruction Blank Feet <br />❑Boring InstallationXBoring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />>1,Gravity ❑Tremie ❑Other: <br />r� <br />Water <br />allons <br />Oemenl 47A <br />Ba9z <br />Water <br />Ivall ons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />ags <br />Thickest Thinnest <br />I Bags <br />2.5 5 <br />1 <br />5 10 <br />1 <br />S 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 s0 <br />5 <br />15 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 1 <br />8 <br />k1b k I <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.socehd.com <br />