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SAN 10AQUIN <br />ii -- COUNTY <br />Greutne.ss grows herr <br />Mo`n,�it'oring Well/Soi <br />Date: 1 15.111 Inspector: v— <br />Facility Address: Mf4ievKst .Z— j X u ,64, <br />Well Address: 4yS i <br />IR - <br />WP# Z - Well#: <br />Soil Boring#: <br />Drilling Company: r <br />Driller Onsite: 1 <br />Consultant: <br />Geologist: <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 />Environmental Health Department <br />Boring Inspection Report <br />CONSTRUCTION <br />Total Depth: �A <br />Drilling Rig Type: I-` U -'L �a,"y <br />Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br />Screen Length From: To: r (S4 <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: 04 <br />❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑ No <br />Verified Chain of Custody: ❑ Yes El No <br />conic c <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />casing <br />height <br />05 <br />ABOVE -GROUND CHR*1-Y43OX <br />CONFLETION COMPLETION <br />grout <br />T1, <br />alottnd _ B <br />aae;:en <br />Covered: El Yes El No I =1w> <br />If yes, material: <br />GROUTING or DESTRUCTION Total Deph: C9� <br />Depth to Water: 1 S tt• <br />Grout Material: <br />3�5 Z <br />FA <br />tt.( . 15 -?" <br />Gallons of Grout Used: MATERIALS/DEVELOPMENT \� <br />'' ��ir Casing Type: <br />❑Well Installation ❑Well Destruction 9 `4 Blank Feet Screen Feet <br />,�;,,,� -4;, Slot Size: <br />❑Boring Installation Boring Destruction Bags of Cement: <br />METHOD USED l Bags Sand/Gravel: <br />❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />❑ Gravity gTremie ❑Other: Type of Method: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <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 />1 25 <br />50 <br />5 <br />IS <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 />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />b S ZLk- !�' �t tI� C� a- ✓►N a S �1 �� g l ("'S n 10/16/2017 <br /><J JL4 <br />1868 E. Hazelton Avenue I Stockt calif 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />