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SANJOANIN Environmental Health Department <br /> COUNTY <br /> Monitoring Well/Sail Boring Inspection Report <br /> F/W/ns rmr: ✓orrrCONSTRUCTION <br /> FFa I <br /> ilit�adaress: xnn <br /> WellAddress Tom] Depth: <br /> Welld: omlingaigUre: <br /> Sarileuand: /7e6 Annular Eno Seal Verified: Dries ONO <br /> YNA .asa3F <br /> Driller (mewlw"�;.a ✓ 7 Screen le�tn Form: <br /> *40ma Fitter PaJk Noun TO <br /> Geologist: <br /> /LS.Lk raKxe Bentorifte From TO <br /> Grott From T o. <br /> Public water system Onsite: ❑ Yea ONO COMPLETION O Metz Pipe OCensne Bm <br /> Domestic Well Cosine: ❑ yes ONO camicirm <br /> If yes lucaebn and distance might <br /> SAMPLING Holding Temperature Cluml-EMON COMPLETION <br /> MetnoaTem =' 7— <br /> Screening Memos: —B <br /> Verified Chain of Custody. ❑ Yes ONO n <br /> SPOILSContamination Noted. ❑ Yes Ox0 <br /> storage Location w Y €f yes spoils OYes Orvo am <br /> —' — . a <br /> Ify cmaterial: <br /> crlCry TmalmgM1: ryes <br /> eP[ M tea[e�: bo <br /> Gallons OF Grout Usb MATERIALSIDEVELOPMENT <br /> Casing Type: <br /> re <br /> ❑Well Installation OWell Destruction Blank Feet Screen Feet <br /> ssotSize <br /> Ceasing Installation ® Bons Destmttlm gs Of Cement <br /> MIETHODUSED Vp Sand/Gravel: <br /> MmesssureGmut OOw Drill Type/Brans] Of Bmtonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity WiTrenue OCther: TypeofMNhodCame; am <br /> z5% N <br /> 4T <br /> w real per But Na 2,152i 4 <br /> is an a <br /> as an <br /> �5 r � 'moa 14 bvia 3TJ4ika Had <br /> � 1DnGnD.T <br /> 1868 E. Hareem parents l Sro w, Gardenia 952051 T 26946e-S1261 F 20945a-013e 1 vow %gah om <br />