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SANJOAQUIN <br />Environmental Health Department <br /><' —COUNT Y— <br />�"+t +-eotness gror:s here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: i0Q Inspector: �W?GWno 5. <br />Facility Address: ►t,( -)on Nu.ScljtjtA Qa <br />Well Address: <br />WP# Well#: <br />Soil Boring#:p�ib til,, , tq, 131, kt <br />Drilling Company: VF --1 W 0r?11t'nc� <br />Driller Onsite: Fran1� <br />Consultant: YAe,?tl�Celder <br />Geologist: 'Dari <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: T, NSR <br />Min 2" Annular EHD Seal VeYified <br />Screen Length <br />From: <br />Filter Pack <br />From: <br />Bentonite <br />From: <br />Grout <br />From: <br />❑ Yes ❑No COMPLETION ❑ Stove Pipe <br />❑ Yes ❑No <br />Verified Chain of Custody: ❑ Yes ❑No <br />SPOILS <br />Contamination Noted: ❑ Yes []No <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth:olb72(os' <br />Depth to Water: 14( -re <br />Grout Material: t telnV CjpVnP.nV- <br />Gallons of Grout Used: -'Wo qC0 <br />❑Well Installation ❑Well Destruction eft' <br />❑Boring Installation F]Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />4 Gravity ❑Tremie ❑Other: <br />Water <br />ailons <br />Cement 47 lb <br />6395 <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />"Bags <br />Thickest Thinnest <br />"Bags <br />2.5 5 <br />1 <br />5 16 <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 4D <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 />2D 40 1 <br />8 <br />40 1 Be <br />8 <br />14-0 9<a 43 \00,9s <br />❑ Yes ❑No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />height <br />—QW47 <br />ABOVE -GROUND CiiFifSTY 80X <br />W kS�L�TlON COMPLErfON <br />Ground Su fxa <br />grout <br />ft. <br />tt. <br />o <br />_ <br />alarud <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 />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />