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SAN JOAQUIN <br />�E' —COUNTY— <br />. <br />Greatness grows here <br />Environmental Health Department <br />11 Monitoring Well/Soil Boring Inspection Report <br />Date: 01l $ Inspector: v ` CONSTRUCTION <br />Facilit Address: 2L Z42 k O' <br />y <br />Well Addres <br />WP# A�Z ` Well#: <br />Soil Boring#: ( fi <br />4 F54 - <br />Drilling Company: L — +;J—V <br />Driller Onsite: lM"� <br />Consultant: C <br />Geologist: <br />Public Water System Onsite: ❑ Yes .EMlo <br />Domestic Well Onsite: ❑ Yes QDIo <br />If yes, location and distance: f <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 />If yes, material: <br />❑ Yes ❑ No <br />❑ Yes ;D -No <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Toial Depth: I 15. lS .. SJ <br />Depth to Water: IS <br />Grout Material: Z L <br />Gallons of Grout Used: ti 25� <br />❑Well Installation ❑Well Destruction <br />❑Boring InstallationZrBoring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity �Tremie ❑Other: <br />Water <br />allons <br />From: <br />Cement 47 lb <br />Bas <br />Water <br />eallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />it Bags <br />Thickest Thinnest <br />9Bags <br />2.5 <br />5 <br />1 <br />5 10 <br />1 <br />5 <br />10 <br />2 <br />10 20 <br />2 <br />7.5 <br />15 <br />15 30 <br />3 <br />10 <br />20 <br />20 40 <br />4 <br />12.5 <br />25 <br />5 <br />25 50 <br />5 <br />15 <br />30 <br />6 <br />30 60 <br />6 <br />17.5 <br />35 <br />7 <br />35 70 <br />7 <br />20 <br />40 <br />8 <br />40 80 <br />8 <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑ Yes El No <br />Screen Length <br />From: <br />To: <br />Filter Pack <br />From: <br />To: <br />Bentonite <br />From: <br />To: <br />Grout <br />From: <br />To: <br />COMPLETION ❑ Stove Pipe ❑Christie Box <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 2.82 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.secehd.com <br />