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SAN.PIOAQUIN <br />—COU NTY- <br />5,_;Fa>; Greotness grows here. <br />Environmental Health Department <br />I Monitoring Well/Soil Boring Inspection Report <br />Date: l� ��' l �� Inspector: " V-a-e�C CONSTRUCTION <br />Facility Address: �jj <br />Well Address: Total Depth: <br />WP# 7i Well#: Drilling Rig Type: <br />Soil Boring#: - 1 1- . !� in�i- S Min 2" Annular EHD Seal Verified: <br />Drilling Company: Lit V <br />EJYes ❑No <br />Driller Onsite: 1 i^ <br />Screen Length <br />From: <br />To: <br />Consultant: <br />Filter Pack <br />From: <br />To: <br />Geologist: t1: <br />Bentonite <br />From: <br />To: <br />Screening Method: <br />Grout <br />From: <br />To: <br />Public Water System Onsite: ❑ Yes KNo <br />Domestic Well Onsite: <br />If yes, location and distance: <br />❑ Yes <br />eNo <br />SAMPLING <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />Holding Temperature: <br />Thickest Thinnest <br />uBags <br />Method: <br />1 <br />5 <br />Screening Method: <br />1 <br />5 10 <br />Verified Chain of Custody: <br />❑ Yes <br />❑No <br />SPOILS <br />7.5 15 <br />3 <br />Contamination Noted: <br />❑ Yes <br />El No <br />If yes, spoils storage Location: <br />4 <br />20 <br />Covered: <br />❑ Yes <br />4No <br />If yes, material: <br />25 <br />50 <br />GROUTING or DESTRUCTION Total Depth: H )0c ,tet% <br />Depth to Water: �—C-- <br />Grout Material: <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation ring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />XGravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />vallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />NBags <br />Thickest Thinnest <br />uBags <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 />7 <br />35 <br />70 <br />7 <br />20 40 <br />FT— <br />4o <br />80 <br />8 <br />COMPLETION ❑ Stove Pipe ❑Christie Box <br />ITcasing <br />TTLheight <br />ABOVE -GROUND CHRZTY43OX <br />CONFLETION COMPLETION <br />Ground surface --+ <br />grout <br />fi. <br />ft. <br />,v <br />t _ � <br />w <br />_ o <br />.totted <br />aeon <br />craw 1w padc <br />tt. = n• <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 />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 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />