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SAN J OAQ U I N Environmental Health Department <br />-COUNTY— <br />Greotn,ess grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 12 VO VU) Inspector: X111Ct5 <br />Facility Address: 2060 Mrlt" <br />C ptw6 <br />Well Address -- _ --&,>((A Ohl LA . <br />W# 00k --- Well#: <br />Soil Boring#: <br />Drilling Company: tmmv) <br />Driller Onsite: <br />Consultant: 1(A my\ <br />Geologist: <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 />Verified Chain of Custody: <br />cpn,l c <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />El Yes El No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />GROUTING or DESTRUCTION Total Depth: �_�t_J 1� <br />Depth to Water: 1t^Pc <br />Grout Material: r+�e.�t <br />Gallons of Grout Used: /N '4&0 1G1A _ <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation S <br />8oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity W <br />Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />From: <br />Water <br />allons <br />Cement 941b <br />Ba s <br />Thickest <br />Thinnest <br />kBags <br />4.7 <br />Thickest <br />Thinnest <br />ttBags <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 />35 <br />70 <br />7 <br />17.5 <br />35 <br />7 <br />40 <br />80 <br />8 <br />20 <br />40 <br />8 <br />CONSTRUCTION <br />Total Depth: __ _- _ - <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑Yes ❑No <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: <br />To: <br />From: <br />To: <br />From: <br />To: <br />From: <br />To: <br />❑ Stove Pipe ❑Christie Box <br />casing <br />height <br />J180ow <br />VE -GROUND CJiRLMT 8oX <br />CO W LETIO N COMPLETION <br />Ground surface <br />grout <br />N _� <br />ft* <br />tte <br />tt. <br />a <br />m <br />O <br />_ o <br />stoned <br />saction "— <br />vivo, Pack <br />34 � _ <br />tt. = tt. <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 <br />Feet <br />BentonitelGement Mix <br />3% Mix <br />5% Mix <br />Bentonite per 47 Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />20821 <br />4.7 <br />10/16/2017 <br />1068 E. Hazelton Avenue � Stockton, California 95205 I T 209 468-3420 � F 209 464-0138 � vwvw.sicehd.com <br />