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ro< 3 - <br />SAN JOAQUIN <br />-- COUNTY ------ <br />Greottiess grows her, <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />f r <br />Date: Inspector:�— <br />Facility A dress: z(rj� (�, <br />Well Address: <br />WP# (�(�41 q (,z Well#: <br />Soil Boring#: f`�1_ 11+ -��C 1n <br />Drilling Company: n ., <br />Driller Onsite: QA "or rvu <br />Consultant: <br />Geologist: ,L <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 />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:�� 2� <br />Depth to Water: �_ <br />Grout Material: j " 6ti <br />Gallons of Grout Used: I r ; <br />[]Well <br />Installation ❑Well Destruction <br />❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity J251J,rem <br />ie ❑Other: <br />Water Cement 471b ;Vater Cernent 941b <br />gallons no <br />CONSTRUCTION <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 />W <br />ABC)YE-GRCtJND <br />casing <br />height <br />t�c�wssr�r-aox <br />CQMPL.Ei10N <br />Ground Surfacs---•-•- <br />groat <br />ft. <br />ft. <br />LETlQN <br />ft. <br />rA: <br />stoned y <br />soon _ <br />.l - <br />e <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 />�r <br />Screen <br />ft. <br />Feet <br />Bentonitel0ement Mix <br />s <br />�°I° Mix <br />eallons <br />Ba s <br />Thickest <br />Thinnest <br />"" Ba 's <br />2.82 <br />Thickest <br />Thinnest <br />ri Barzs <br />2.5 <br />5 <br />1 <br />5 <br />10 <br />1 <br />5 <br />10 <br />2 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <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 />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />CONSTRUCTION <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 />W <br />ABC)YE-GRCtJND <br />casing <br />height <br />t�c�wssr�r-aox <br />CQMPL.Ei10N <br />Ground Surfacs---•-•- <br />groat <br />ft. <br />ft. <br />LETlQN <br />ft. <br />rA: <br />stoned y <br />soon _ <br />.l - <br />e <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 />�r <br />Screen <br />ft. <br />Feet <br />Bentonitel0ement Mix <br />3% Mix <br />�°I° Mix <br />Bentonite per 4� Ib <br />1.41 <br />2.47 <br />Bentonite <br />per 94 Ib <br />2.82 <br />4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sicehd.com <br />