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SAN.:_<<IOAQUIN <br />COUNTY <br />Gr- atn� ss grows hereo <br />Environmental Health Department <br />Monitoring Well )oil Boring Inspection Report <br />Date: V� Inspector: CONSTRUCTION <br />Facility Address: I`L'L o Tom <br />Well Address: 3po�1„ J. L L� • Total Depth: <br />WP# \"1PIFFFFFFF� _Well#: Drilling Rig Type: o to'�`- 4•�` fl <br />Soil Boring#: 1\4-j1 A <br />Drilling Company: (�•�G0 L��� --�-- :1 in 2" Annular EHD Seal Verified: <br />Driller Onsite: NOAr✓I Screen Length From: `�_ <br />Consultant: <br />Geologist: <br />Public Water System Onsite: C� Yes ❑No <br />5M1c &Onsite. [Yes ❑No <br />If yes, location and distance:y` <br />SAMPLING <br />Holding Temperature. <br />Method: <br />Screening Method: INUTE <br />Verified Chain of Custody: <br />Contamination Noted: <br />If yes, spoils storage Location: <br />❑ Yes <br />❑ Yes <br />❑No <br />Covered: ❑Yes ❑No <br />If yes, material. <br />r , <br />GROUTING or DESTRUCTION Total Depth: S <br />Depth to Water: <br />Grout Material: t�•C C-c� -C <br />Gallons of Grout <br />f]Well Installation <br />El Boring <br />❑Well Destruction <br />Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity <br />[�]Tremie <br />❑Other: <br />Water <br />gallons <br />Cement 471b <br />Bas <br />3°�° ilVlix <br />'Nater <br />allons <br />Cement 941b <br />Ba s <br />Thickest <br />Thinnest <br />#Bags <br />Thickest <br />Thinnest <br />fiiBags <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 />10 <br />20 <br />4 <br />W26s <br />� <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 />40 <br />IF <br />80 <br />8 <br />20 <br />40 <br />8 <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: � `� O <br />From: 5 S <br />From: 5'Z` <br />❑Stove Pipe <br />❑ Yes ❑ No <br />To: tp� • S <br />To: co to <br />To: <br />❑Christie Box <br />slonad <br />3�Of? <br />ft. <br />MATERIALS/DEVELOPMENT <br />Casing Type: S ��, � <br />Blank S5' 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 />Screen�� � Feet <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjcehd.com <br />Bentonitei�ement IVlix <br />3°�° ilVlix <br />5°�° ift+fi�t <br />Bentonite per 4� Ib <br />1.41 <br />2.4� <br />Bentonite per 94 Ib <br />2082 <br />4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjcehd.com <br />