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,Z"Fsk SANJOAOUIN Envlruntnenw ? Health Department <br /> c.-omusy a Monitoring Well/Soil Boring Inspection Report <br /> re: l Wil <br /> Inspector: <br /> H <br /> Facility Address: 7„u eef. adwAddress: <br /> Depm: <br /> Drilling R. he +Yr' sen,t <br /> x Ibv wellp: Min r monist EHD seal verified: ❑ Ves Offset <br /> DriffingCompHeUauhT T.eµeyDriflerOnsi Screen LengthanyU.oI N.Yt From: TO, <br /> to Consultant: AtnwA Filter PackFrom: This <br /> Canoeist: Ane.da <br /> Grout F <br /> Public Water Syzte-n CO Onsue: ❑ Yes ONO O ve TO <br /> sto Pip OChnstie Box <br /> Dolfta <br /> ges, location and distance D yes ONo Hate <br /> Holding <br /> Territerature CONFULEu Methand <br /> Screening Method mm <br /> Verified chain off Osiotl y- ❑ Yes ONO a <br /> contamination SPOILS t ❑ Ves ONo <br /> If yes, spoils storage lnrahon. <br /> inchan <br /> covered:mror ❑ Yes ONOsonflFw <br /> Iftes, a i <br /> GREAUMPIG or oDontoWate . 40, <br /> Grout <br /> Ca nMatematu { O Mfs/DEVEEOPMENr <br /> Dwell lnsaltitron� OWeil Destruction Btankg Type Feet Screen Genet <br /> Altring Installation W13thering Destruction Slot Size: <br /> eats of Cement <br /> METHOD USED Raps Sand/Gravel: <br /> Orressure Grne Oover Drill YPe/&and of eumm�ite: <br /> Filter Pack TYpe/Sizu: <br /> ❑ Gravity PITremle ODther Type of MethodClemens <br /> in <br /> 't- yTly Mys i 35�yUcr I mtxn tt YTtky b•�S �.. '!o �r�l Nu <br /> I mrr S HAS v�ya •.., Is a <br /> Yr LJ I4tt .r4 ✓.e l- /16R <br /> Nth <br /> 10 Bv <br /> IrnBE. nachimen Avenel srockron, caRwnia aszOBl T 209aes-34" I F zuvagxatze 1 vareviacelicient <br />