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SAN JOAQUIN <br />COUNTY <br />Greatness groes here - <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: L Ag <br />/o? Insp ctor: CONSTRUCTION <br />Facility Address:_1 '/ 141 r <br />Well Address: t II st L-� Total Depth: 2,S' ,5 / j <br />b <br />WP# 0 0 8 U Well#: Drilling Rig Type: k1sA S y, <br />Soil Boring# I <br />Drilling Company: Min 2" Annular EHD Seal Verified: ❑ Yes []No <br />Driller Onsite: / /- W{ v,,4 Screen Length From: To: <br />Consultant: t.t�S l ` ge I�J3�Filter Pack From: To' <br />Geologist: ' /Bentonite From. To. <br />Public Water System Onsite: ❑ Yes El No <br />Domestic Well Onsite: <br />If yes, location and distance: <br />❑ Yes <br />El No <br />SAMPLING <br />Thickest Thinnest <br />4 <br />Holding Temperature: <br />N Bags <br />2.5 5 <br />Method: <br />5 10 <br />1 <br />Screening Method: <br />10 20 <br />Verified Chain of Custody: <br />❑ Yes <br />El No <br />SPOILS <br />3 <br />10 20 <br />Contamination Noted: <br />❑ Yes <br />❑No <br />If yes, spoils storage Location: <br />5 <br />25 50 <br />Covered: <br />❑ Yes <br />El No <br />If yes, material: <br />6 <br />17.5 35 <br />GROUTING or DESTRUCTION Total Aepth: 2 _ <br />Depth to Water: ( 2- <br />Grout Material: bt ie f <br />Gallons of Grout Used:U- <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation KBoring Destruction <br />METHOD USED <br />El Pressure Grout ❑Over Drill <br />❑ Gravity 57,Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />4 <br />Thickest Thinnest <br />N Bags <br />2.5 5 <br />1 <br />5 10 <br />1 <br />5 10 <br />10 20 <br />2 <br />7.5 15 <br />3 <br />15 30 <br />3 <br />10 20 <br />4 <br />20 40 <br />4 <br />12.5 25 <br />5 <br />25 50 <br />5 <br />15 30 <br />6 <br />30 60 <br />6 <br />17.5 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />8 <br />1 40 80 <br />8 <br />Grout From: To: <br />f <br />©1 r <br />COMPLETION ❑ Stove Pipe ❑Christie Box I.' IZ nn <br />casing <br />height <br />ABOVE -GROUND CiiAISlY-BO) <br />COMPLETION COMPLETIO O d <br />Ground Surface <br />grout <br />it. <br />I- a <br />sbtt*d <br />aeon <br />Ixsw Pack <br />ft <br />MATERIALS/DEVELOPM ENT <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 Feet <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1 1.411 2.47 <br />Bentonite per 94 Ib 1 2.821 4.7 <br />✓ , q be,( SS 10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.smcehd.com <br />