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SAN 10AQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: �,i�—i 2 Inspector: f1%�E-F�- <br />Facility Address: �Ilc�lir �O(v �,;. �f� S��►c f <br />Well Address: <br />WP# ;.� �rZ, q�10 Well#: <br />Soil Boring#: 'y �g)-� �j�3� �t-r�c�l�t •��y_.� /� <br />Drilling Company: �° r� c��� <br />Driller Onsite: ��� <br />Consultant: /�/� ccC�r� <br />Geologist: �`i` lir" <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 />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth: .� � <br />Depth to Water: /`�� �rn��Y' <br />Grout Material : !y �r.-� c � �� �-�- "C <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation �oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />L�'Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bags <br />5°!° Mix <br />Water <br />allons <br />Cement 941b <br />Bags <br />Thickest <br />Thinnest <br />ttBags <br />4.7 <br />Thickest <br />Thinnest <br />#Bags <br />2.S <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 i <br />� 20 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />S <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />35 <br />70 <br />7 <br />17.5 <br />35 <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 />casing <br />height <br />JIBrJVE-GFaOtJND G#�W>,STY-SOX <br />CO MP t.E7i0 N CO{NPt.ETI ON <br />oround surface <br />procrt <br />fi. <br />tt. <br />n. <br />�: � = m <br />.r.: p <br />-'^ C <br />O <br />stoctae :;: _ � <br />aac^on ="� _ <br />�� — <br />�<.. — - <br />:�-: — <br />.��, — <br />tt. � —' n- <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 />BentonitefOement Mix <br />3°,�° Mix <br />5°!° Mix <br />Bentonite per 4l Ib <br />1.41 <br />2.�� <br />Bentonite 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 />