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SAN`'JUAC�UIN <br />--COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: �—?lL Inspector: �� <br />Facility Address: �(�7�? t-4y� �4� /Zd <br />Well Address: <br />wP#moo y3 z�� well#: �w-�O <br />Soil Boring#: <br />Drilling Company: ,'yG�d `JG�.�c�� <br />Driller Onsite: <br />Consultant: cc�ala <br />Geologist: L�/rCw- <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contaminatlon Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie ❑Other: <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑Yes ❑No <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />COMPLETION ❑Stove Pipe ❑Christie Box <br />casing <br />height <br />ABrJNE-GRCIJND <br />CO M5F' LET 1(� N G}-{Fi f5?Y- 80 X <br />CC�MPLETICN <br />Qraund Sta-faca <br />a�«�c <br />tt. <br />ft. <br />ft. <br />ut'�/ a; _ <br />��e�� �. — <br />�^: <br />i/w� � s la ttad _ <br />s�cn _ <br />�; — <br />:�>:. _ . <br />.�x <br />:�- — <br />_;: <br />tt. � _ <br />YVater <br />Rallons <br />Cement 4?II? <br />Ba^s <br />5°lo Mix <br />Water <br />allons <br />Cer7ient 9alE_i <br />Bags <br />Thickest <br />Thinnest <br />» BaRs <br />2.82 <br />ThiCl;est <br />Thinnest <br />" BaRs <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />'' <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />=l <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 />f: <br />1;.5 <br />35 <br />7 <br />35 <br />70 <br />t <br />20 <br />a�� <br />s <br />�o <br />su <br />s <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 />p <br />m <br />0 <br />Screen <br />it. <br />Feet <br />BentonitefOement Mix <br />3°�o Mix <br />5°lo Mix <br />Bentonite per 47 Ib <br />1.�1 <br />2.4T <br />Bentonite <br />per �4 Ib <br />2.82 <br />4.� <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sicehd.com <br />