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SAN JOAQUIN <br />�" ! <br />COUNTY— <br />Greatness grows here, <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: i' q l (S) Inspector: W <br />Facility Address: S <br />Well Address: <br />WP# () 01 ' q-+CliI Well#: <br />Soil Boring#: B i <br />Drilling Company: �.P &401/k <br />Driller Onsite: t✓ k'..'A <br />Consultant:yy-CA,Cd-4 <br />Geologist: C k r i S <br />Public Water System Onsite: ❑ Yes ❑No <br />Domestic Well Onsite: ❑ Yes El No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑No <br />If yes, material: <br />1 <br />GROUTING or DESTRUCTION Total epth: <br />Depth to Water:— <br />Grout Material: ..�� <br />Gallons of Grout Used: ti 10 j <br />❑Well Installation ❑Well Destruction <br />❑Boring InstallationBoring Destruction <br />MF:TNnn I IcFn ' \\ <br />El Pressure Grout ❑Over Drill <br />❑ Gravity '�Tremie ❑Other: <br />rnMCTR11rTMN <br />Total Depth: !IA <br />Drilling Rig Type: C) fir. LCL r <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />N <br />SA( <br />rnmpi FTlnM <br />From: <br />From: <br />From: <br />From: <br />❑ Stove Pipe <br />❑ Yes ❑No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />aa ft. <br />Z�� <br />s <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 10 <br />1 <br />5 <br />10 <br />2 <br />10 20 <br />2 <br />7.5 <br />15 <br />3 <br />15 30 <br />3 <br />10 <br />204 <br />20 40 <br />4 <br />12.5 <br />25 <br />5 <br />25 50 <br />5 <br />15 <br />30 <br />6 <br />30 60 <br />6 <br />17.5 <br />35 <br />35 70 <br />7 <br />20 <br />40 <br />8 <br />40 80 <br />8 <br />ft. <br />MATERIALS/DEVELOPMENT <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 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />J✓/fig if �,� <br />Z� <br />-C - 4 10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br />