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SAN�J0AUUIN <br />I" b:3- `! —COUNTY— <br />�: Greatness grows here <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date:62.I 10':' Inspector: 06T -T 00 <br />Facility Address: <br />Well Address: 2. 5a <br />WP# d –51?)�15 Well#: <br />Soil Boring#: -9 <br />Drilling Company: G <br />Driller Onsite: lze <br />Consultant: DA % <br />Geologist: <br />Public Water System Onsite: ❑ Yes ONO <br />Domestic Well Onsite: ❑ Yes ONO <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: ❑ Yes ❑No <br />SPOILS <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: -- <br />Grout Material: CP,YnP1 A <br />Gallons of Grout Used: <br />[]Well Installation ❑Well Destruction <br />❑Boring Installation Coring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity 5QTremie ❑Other: <br />fl l a/ao,f <br />Water <br />allons <br />Cement 471b <br />Bags <br />Water <br />allons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />#Bags <br />2.5 5 <br />1 <br />5 10 <br />1 <br />5 10 <br />2 <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 />40 80 <br />8 <br />CONSTRUCTION <br />Total Depth:_ <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: <br />From: <br />From: <br />From: <br />❑ Stove Pipe <br />casing <br />height. <br />J SOVE-GROUND c7- Rz-rY-Box <br />COMFLETION COMPLEnON <br />Ground suiacs <br />oravt <br />ft. <br />tt. <br />— o <br />t -mon <br />i ' = >-w'w Pack <br />❑ Yes El No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <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 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 7 209 468-3420 1 F 209 464-0138 1 m"v.slcehd.com <br />