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SANJOAQUIN <br />COUNTY <br />y_ <br />Greatness grows (fere. <br />Environmental Health Department <br />Monitoring well )oil Boring Inspection Report <br />Date:`@tInspector: CONSTRUCTION <br />Facility Address: <br />Well Address: '311 !A Pt C Sl' <br />W# W o o t�k o1q.. Well#:.N / t9 <br />Soil Boring#% % Z <br />Drilling Company: CP��Lt= <br />Driller Onsite: N <br />Consultant%Geologist: <br />Public Water System Onsite: Yes ❑No <br />Domestic Well Onsite: ❑ Yes [?(No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑Yes ❑No <br />❑ Yes ❑No <br />GROUTING or DESTRUCTION Total Depth <br />Depth to Water: � 3 � � bS�► <br />Grout Material: <br />Gallons of Groui <br />[]Well <br />3S` <br />Installation ❑Well Destruction <br />El Boring Installation poring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity <br />[�Tremie <br />❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />3°�° l�lix <br />ater <br />allons <br />Cement 941b <br />Sa s <br />Thickest <br />Thinnest <br />B gs <br />Thickest <br />Thinnest <br />#Bags <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />20 <br />2 <br />15 <br />30 <br />3 <br />7.5 <br />15 <br />3 <br />20 <br />40 <br />4 <br />10 <br />20 <br />4 <br />25 <br />50 <br />5 <br />125 <br />25 <br />5 <br />30 <br />60 <br />6 <br />15 <br />30 <br />6 <br />35 <br />70 <br />7 <br />175 <br />35 <br />7 <br />40 1 <br />80 <br />8 <br />20 <br />40 <br />8 <br />Total Depth: <br />Drilling Rig Type. <br />Min 2" Annular EHD Seal Verified: ❑Yes ❑No <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: To: <br />From: To: <br />From: To: <br />From: To: <br />❑Stove Pipe ❑Christie Box <br />ft. <br />fL <br />Bentonitef�ement Nli�c <br />3°�° l�lix <br />�°I° IiAi�c <br />Bentonite per 4� Ib <br />1.41 <br />2.4T <br />Bentonite per 94 Ib <br />2082 <br />4.7 <br />-- <br />F <br />a:. <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 />fi. <br />Feet <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 I T 209 468-3420 � F 209 464-0138 � www.sjcehd.com <br />Bentonitef�ement Nli�c <br />3°�° l�lix <br />�°I° IiAi�c <br />Bentonite per 4� Ib <br />1.41 <br />2.4T <br />Bentonite per 94 Ib <br />2082 <br />4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 I T 209 468-3420 � F 209 464-0138 � www.sjcehd.com <br />