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SAN JOAQUIN Environmental Health Department <br />t ;fib• `J —COUNTY— <br />`ci.rr• Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Z %fJInspector: �%lAfrr-�tiit� <br />Facility Address: C M, M o- two, <br />Well Address: <br />WP# 00u0Well#: <br />Soil Boring#: }3I - <br />Drilling Company: A2� v✓ <br />Driller Onsite: C1G <br />Consultant: y-0, <br />Geologist: f1 G <br />Public Water System Onsite: <br />Domestic Well Onsite <br />If yes, location and distance: <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />q"� vUd f - <br />Min 2" Annular EHD Seal Verified: ❑ Yes ❑No <br />Screen Length <br />From: <br />To: <br />Filter Pack <br />From: <br />To: <br />Bentonite <br />From: <br />To: <br />Grout <br />From: <br />To: <br />❑ Yes E] No COMPLETION ❑ Stove Pipe ❑Christie Box <br />❑ Yes ❑ No <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />cpnlI c <br />Contamination Noted: ❑ Yes El No <br />If es s oils Stora e Location• <br />casing <br />height <br />ABOVE -GROUND cHRZTY 3OX <br />COMPLETION COMPLETION <br />Ground Sumacs <br />grout <br />ft. <br />ft. <br />tt. <br />y , p g 1 stottad <br />J I �� 15 section = B <br />Covered: El Yes ❑ No _ g.„,w v --k <br />If yes, material: R2--9 3 7 16 <br />GROUTING or DESTRUCTION Total Depth: �� �+ - Zo <br />Depth to Water: <br />Grout Material: Nrh9 <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />❑Boring InstallationBoring Destruction <br />METHOD USED <br />�❑tPressure Grout ❑Over Drill <br />L)9, Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />ABags <br />Thickest Thinnest <br />ttBags <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 1 <br />3 <br />15 30 <br />3 <br />10 20 1 <br />4 <br />20 40 <br />4 <br />25 <br />5 <br />25 50 <br />5 <br />15 30 <br />6 <br />30 60 <br />6 <br />r112.5 <br />7.5 35 <br />7 <br />35 70 <br />7 <br />20 40 <br />8 <br />40 80 <br />8 <br />-ft. I IF'� = I F 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 />Lv�'-� IN/ S }2�k 1 Y� � 'C o� Ja' r Inc 10/16/2017 <br />1868 E. Hazelton AvenueJI Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />