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SANJOAQUIN Environmental Health Department <br />-COUNTY— <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: \\ 0k -A I J)7L Inspector: ACONSTRUCTION <br />Facility Address: ,uk) .�y5 <br />Cement 471b <br />Bas <br />Well Address: <br />Filter Pack <br />WP# \Sc'?a qj'�`'� <br />Well#: <br />Soil Boring#: l <br />Thickest Thinnest <br />Drilling Company: <br />2.5 5 <br />Driller Onsite: Q'NkSN-). <br />5 <br />Consultant: t--, 'o 9 <br />1 <br />Geologist: Q !�u� <br />2 <br />10 <br />20 <br />Public Water System Onsite: <br />Yes ❑No <br />Domestic Well Onsite: <br />0 Yes ❑No <br />If yes, location and distance: <br />3 <br />CANAPI Inlr <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes []No <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: \0 r \ 5 <br />Depth to Water: r-� j P <br />Grout Material: <br />Gallons of Grout Used: 0.0 00. pc�S <br />❑Well Installation ❑]�Well Destruction <br />El Boring Installation I�Boring Destruction <br />METHOD USED <br />[]Pressure Grout ❑Over Drill <br />/Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Filter Pack <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 5 <br />1 <br />5 <br />10 <br />1 <br />5 10 <br />2 <br />10 <br />20 <br />2 <br />7.5 15 <br />3 <br />15 <br />30 <br />3 <br />10 20 <br />4 <br />20 <br />40 <br />4 <br />12.5 25 <br />5 <br />25 <br />50 <br />5 <br />15 30 <br />6 <br />30 <br />60 <br />6 <br />17.5 35 <br />35 <br />70 <br />7 <br />20 40 <br />40 <br />80 <br />B <br />X_ -w - <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑ Yes [I 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 />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen 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 />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.sicehd.com <br />