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A <br />SANJOAQUIN <br />COUNTY <br />`,L K Greatness Bross here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: P �3 / 6 i- Lector: <br />Premise Address: GO <br />WP#: 00 -S <br />Well#: U <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br />Consultant:�e`n -e <br />Geologist: <br />Public Water System Onsite: ❑ Yes El No <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />SAMPLING �p �'i��Q S -I -`t <br />Holding Temperature: <br />Method: IL <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes ❑No <br />gonll c <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: -2- <br />Grout <br />Grout Material: <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity YTremie ❑Other: <br />Water <br />gallons <br />t( <br />/ / <br />D //,� j0 � <br />Cement 47 lb <br />Water <br />eallons <br />Screen Length From: <br />Cement 941b <br />Beis <br />Thickest Thinnest <br />IBags <br />Thickest Thinnest <br />x8ags <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 />3o <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />50 <br />6 <br />17.5 <br />35 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />CONSTRUCTION <br />Total Depth:, -3-0 <br />Drilling Rig Type: <br />t( <br />/ / <br />D //,� j0 � <br />Min 2" Annular Seal Verified: <br />b4es 11 No <br />Screen Length From: <br />To: <br />Filter Pack From: <br />To: <br />Bentonite From: <br />To: ' 4 <br />Grout From: <br />To: <br />COMPLETION ❑ Stove Pipe Diristie Box <br />I F casing <br />T height <br />SIS©YE-GRCtJND <br />COMF, (}ON <br />C -Awn i Si <br />soc:on <br />30 ft. <br />1-Vw rack <br />ft. <br />MATERIALS/DEVELOPMENT �` ' c��I <br />Casing Type: �j G <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement:- t <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.411 2.47 <br />Bentonite per 94 Ib 2.821 4.7 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0 <br />8 1 www.sjce . <br />