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'���a� SAN JUAQUIN <br />�Ij-' � COUNTY <br />Greotness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: b -'s -Z z Inspector: /ASE !(aA <br />Facility Address: Vet zM 5, t or—%e . <br />Well Address: <br />WP#6l2N33L2 Well#: <br />Soil Boring#:3/,[3z <br />Drilling Company: ��Gz A� <br />Driller Onsite: S�c.� <br />Consultant: <br />Geologist: 5 �N <br />Public Water System Onsite <br />Domestic Well Onsite: <br />If yes, location and distance: <br />cnnnDi inic <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />conic c <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes El No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth: /Z, V <br />Depth to Water: /0 W.'�er <br />Grout Material: 416,� cc,,e­,f <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation [6oring Destruction <br />METHOD USED <br />❑Pressure Groutt❑Over Drill <br />QTGravity N6remie ❑Other: <br />12, a-, I <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />From: <br />Filter Pack <br />From: <br />Bentonite <br />From: <br />Grout <br />From: <br />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />To: <br />COMPLETION El Stove Pipe ElChristie Box <br />casing <br />height <br />ABOVE -GROUND <br />, - <br />ays '-J- <br />Water <br />gallons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />ttBags <br />Thickest Thinnest <br />71 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 />_-a- <br />40 <br />80 <br />8 <br />�h5s. <br />ft. <br />•tottad <br />s•c5on <br />ft. <br />G=nd suiarc• <br />grout <br />n. <br />ft. <br />_ e <br />_ <br />— o <br />g -vol pack <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 1.411 2.47 <br />Bentonite per 94 Ib 2.821 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 />