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SAN JOAQUIN <br />-COU NTY- - - <br />�9,,FoaP: Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 11-r; -Z1 Inspector: <br />/ASt 6-^' <br />CONSTRUCTION <br />Facility Address: 10(oZ3 T�r,'.Aetj <br />pxwj <br />Thickest Thinnest <br />#Bags <br />Well Address: <br />#Bags <br />Total Depth: <br />5 <br />WP#_4_q3 fZ <br />Well#: <br />Drilling Rig Type: <br />1 <br />Soil Boring#: 74 7, <br />10 <br />2 <br />10 <br />Company: <br />Drilling p y: - �� <br />Zp-- <br />Min 2" Annular EHD Seal Verified <br />Driller Onsite: <br />3 <br />Screen Length <br />From: <br />Consultant: XeU741w <br />10 <br />Filter Pack <br />From: <br />Geologist: rror <br />40 <br />Bentonite <br />From: <br />25 <br />5 <br />Grout <br />From: <br />Public Water System Onsite: <br />❑ Yes ❑ No <br />COMPLETION <br />❑ Stove Pipe <br />Domestic Well Onsite: ❑ Yes El No <br />If yes, location and distance: <br />cnnnoi inir- <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 />If yes, material: <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: 13( <br />Grout Material: &0a lPirPc+� <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation Boring Destruction <br />METHOD USED <br />❑PPressure Grout ❑Over Drill <br />(/Gravity C+3Tremie ❑Other: <br />❑ Yes ❑No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />height <br />ABOVE -GROUND <br />CONFLET;ON COMPLETION <br />t <br />- har� .: ro <br />Water <br />allons <br />Cement 47 lb <br />Bas <br />Water <br />vallons <br />Cement 941b <br />BaZs <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <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 />12.5 <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 />I y iic'i <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 />ft. <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 2.62 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.secehd.com <br />