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SAN�JOAQUIN <br />Environmental Health Department <br />.I, <br />—COU NTY— <br />,,���,: Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: <br />Inspector: � AM/1 l y\.Q, <br />Facility Address: (--�Q <br />Po✓1C,1- t-)2 IjWvL A/Q, <br />Well Address: <br />Cement 941b <br />Bags <br />WP# 00'; (42 <br />Well#: <br />Soil Boring#: 1 <br />#Bags <br />Drilling Company: 1A-) <br />DO L&)aA% 1p! 0408160. <br />Driller Onsite: <br />Consultant: <br />1 <br />Geologist: <br />10 <br />Public Water System Onsite: ❑ Yes ❑No <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />CPrlll C <br />Contamination Noted <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑No <br />❑ Yes 1:1 No <br />❑ Yes ❑No <br />GROUTING or DESTRUCTION Total Depth:Lq <br />Depth to Water: Iw (mac a4c'rr <br />Grout Material: <br />Gallons of Grout Used: '2)5� <br />❑Well Installation ❑Well, Destruction <br />❑Boring Installation goring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity Tremie ❑Other: <br />Water <br />allons <br />Screen Length <br />Cement 471b <br />Bay <br />Water <br />allons <br />From: <br />Cement 941b <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 />25 <br />50 <br />5 <br />15 <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 />( (1NCTPI 1('TIOKI <br />Total Depth: _ <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />From: <br />Filter Pack <br />From: <br />Bentonite <br />From: <br />Grout <br />From: <br />COMPLETION ❑ Stove Pipe <br />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />�==T T height <br />wsov;=-e.RC(JND <br />COMPLETION Ct->RiS -BOX <br />COMPLETION <br />Ground Suiace <br />grout <br />ft_ <br />ft. <br />tiK <br />slor.Qd <br />1 _ 9-M Pack <br />n. <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 />n_ <br />Screen Feet <br />Benton itefCement Mix 3% Mix 5% Mix_ <br />Bentonite per 47 Ib 1.41 2.47 <br />Bentonite per 94 Ib 2.82 4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.secehd.com <br />