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P7 ex SAN JOAQUIN <br />COUNTY <br />Greotness grows her.. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: `� �u '� Inspector: �G�ei;,,,,°L CONSTRUCTION <br />Facility Address: 1'3 <br />Well Address: <br />Al P# Lt) L1'3'L 5 U Well#: <br />Soil Boring#: <br />Drilling Comr <br />Driller Onsite: <br />Consultant <br />Geologist: <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 />C�T7i11C� <br />Contamination Noted: <br />If yes, spoils storage Location: <br />t �k� <br />Covered: ❑Yes ❑ No <br />If yes, material. <br />GROUTING or DESTRUCTION Total Depth: �L <br />Depth to Water: o✓ iA� <br />Grout Material: ti�� Ce,Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation 54�13 <br />oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />2S. <br />G ravity <br />❑Tremie <br />cement <br />Bags <br />❑Other: <br />Water <br />°4 Ib Water Cement 941b <br />allons <br />allons Ba s <br />Thickest Thinnest 9Bacrs Thickest Thinnest #Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 5 25 50 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8t4) Z7 <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 />J180VE-GRO(JND CNAIM' 80X <br />COMPLETION COMPLETION <br />x <br />Ground Suria <br />grout <br />ft. <br />ft. <br />ft. <br />= m <br />stottsd _ g <br />soon — <br />VIV94 pack <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 <br />Feet <br />BentonitelCement Mix <br />3% Mix <br />5% Mix <br />Bentonite per 47 Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2.82 <br />4.7 <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 />J180VE-GRO(JND CNAIM' 80X <br />COMPLETION COMPLETION <br />x <br />Ground Suria <br />grout <br />ft. <br />ft. <br />ft. <br />= m <br />stottsd _ g <br />soon — <br />VIV94 pack <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 <br />Feet <br />BentonitelCement Mix <br />3% Mix <br />5% Mix <br />Bentonite per 47 Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2.82 <br />4.7 <br />1868 E. Hazelton Avenue*� Stockton, California 95205 � T 209 468-3420 � <br />10/16/2017 <br />F 209 464-0138 � www.slcehd.com <br />