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2'0'9' <br />0 kl ` <br />SANJOAQUIN <br />i—COUNTY— <br />Greatness grov.s <br />Environmental Health Department <br />Q Monitoriin)gWell/Soil Boring Inspection Report <br />Date: 5 U spector: VV-,�CONSTRUCTION <br />Premise Address: L r <-'? / <br />WP#: Qt -)Q Total Depth: r, 1 i rn n <br />Well#: Drilling Rig Type: (4r `) <br />Soil Boring#: z <br />Cement 471b <br />Bas <br />Water <br />emaIlons <br />Min 2" Annular <br />Seal Verified: <br />Drilling Company: o%- V <br />#Bags <br />Thickest Thinnest <br />D <br />Driller Onsite: <br />Screen Length <br />From: <br />Consultant: 0 <br />Filter Pack <br />From: <br />Geologist: Qom. �- <br />Bentonite <br />From: <br />2 <br />Grout <br />From: <br />Public Water System Onsite: ❑ Yes ❑No <br />Domestic Well Onsite: ❑ Yes []No <br />If yes, location and distance: ,c„ <br />SAMPLING f <br />Holding Temperature: <br />Method: <br />Screening Method: —/ <br />Verified Chain of Custody: .0VVVV <br />Yes V <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Locatio <br />Covered: ❑ Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTION TQM e th:_ <br />Depth to Water: aYV <br />Grout Material: ( 1j( -t0 <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destructi <br />❑Boring Installation�@oring Destruction <br />METHOD USED ii <br />�❑El Pressure Grout ❑Over Drill <br />Kravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />emaIlons <br />Cement 941b <br />Bois <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 />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />3o <br />60 <br />6 <br />17.5 <br />35 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />COMPLETION ❑ Stove Pipe <br />❑ Yes El No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />ft. <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen 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 />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.71. <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />