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OoII <br />SANTJ0AQUIN <br />ter(` Greatness grows `vera. <br />Monitoring Well Soil Boring Inspection Report <br />Date: Inspector: (041 <br />FacIIity Address: 1rPsNO 25 "S <br />Well Address: 2� CoCoS S • NT'A F1� <br />WP# fI(C:) Well#: "):�A <br />Soil Boring#, <br />Drilling Company: VJ <br />Driller Onsite: IS t\ (17 <br />Consultant ( 6 k*Z> 'iO V. <br />Geologist, C2;a) <br />Public Water System Onsite: ❑ Yes L/JNo <br />Domestic Well Onsite: Yes ❑No <br />If yes, location and distance: 2. y/ <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 />❑ Yes <br />GROUTING or DESTRUCTION Total Depth: �p� <br />Depth to Water, <br />Grout Material <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min Z" Annular EHD Seal Verified <br />Screen Length From: <br />Filter Pack From: <br />Bentonite From: <br />Grout <br />COMPLETION <br />From: <br />❑ Stove Pipe <br />using <br />h�Ight <br />�hvLETjoN GC3A+iPLEiIG.N <br />GA-�cind SLmli" <br />gra <br />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />❑Christie Box <br />r.71afcdor <br />x <br />#.L<a .WEENOMMOOL <br />fI W. <br />MATERIALS/DEVELOPMENT <br />Gallons of Grout Used: OIL i, de. . <br />❑Well Installation <br />Casing Type: <br />Well Destruction Blank Feet Screen <br />Slot Size: <br />❑Boring Installation ❑Boring Destruction gags oemen f Cement, <br />Ll Pressure <br />Grout ❑Over Dril <br />LJ Gravity <br />�Tremie <br />: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Other: `t�i���'�S�'`}�Type of Method: <br />Water <br />METHOD USED <br />Bags Sand/Gravel <br />Cement 471b Water Cement 941b <br />alions Bas allons Bags <br />Thickest Thinnest #Bags Thickest Thinnest #i Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7,5 15 a 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 35 70 7 <br />20 40 8 40 80 8 <br />Feet <br />en <br />E��n�onit�}�elm�nir �11ix 3°�0 �+iix �°�o �Jlix <br />_ Bentonite per 4� lb 1.4'1 2.4� <br />Btonite per 94 Ib 2082 43 <br />10/16/2017 <br />1868 E. Hazelton Avenue j Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � wwvv,sjcehd.com <br />MATERIALS/DEVELOPMENT <br />Gallons of Grout Used: OIL i, de. . <br />❑Well Installation <br />Casing Type: <br />Well Destruction Blank Feet Screen <br />Slot Size: <br />❑Boring Installation ❑Boring Destruction gags oemen f Cement, <br />Ll Pressure <br />Grout ❑Over Dril <br />LJ Gravity <br />�Tremie <br />: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Other: `t�i���'�S�'`}�Type of Method: <br />Water <br />METHOD USED <br />Bags Sand/Gravel <br />Cement 471b Water Cement 941b <br />alions Bas allons Bags <br />Thickest Thinnest #Bags Thickest Thinnest #i Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7,5 15 a 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 35 70 7 <br />20 40 8 40 80 8 <br />Feet <br />en <br />E��n�onit�}�elm�nir �11ix 3°�0 �+iix �°�o �Jlix <br />_ Bentonite per 4� lb 1.4'1 2.4� <br />Btonite per 94 Ib 2082 43 <br />10/16/2017 <br />1868 E. Hazelton Avenue j Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � wwvv,sjcehd.com <br />Feet <br />en <br />E��n�onit�}�elm�nir �11ix 3°�0 �+iix �°�o �Jlix <br />_ Bentonite per 4� lb 1.4'1 2.4� <br />Btonite per 94 Ib 2082 43 <br />10/16/2017 <br />1868 E. Hazelton Avenue j Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � wwvv,sjcehd.com <br />10/16/2017 <br />1868 E. Hazelton Avenue j Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � wwvv,sjcehd.com <br />