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Boring Inspection Report <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 />LI Yes El No <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />1 <br />SAN JOAQUIN <br />COUNTY <br />GreciiiiEss gro: <br />Monitoring Well/Soil <br />Date: -7 bible Inspector: )‘i- • %.1. <br />Facility Address: 17-45" t•-r1 <br />Well Address: <br />WP# 0031sc2-6, Well#:eeci.07000-4429( <br />Soil Boring#: Mv,./ -14,flit., PS ) 511,46,14 <br />Drilling Company: V ki ln/ 12kIt1ir,) <br />Driller Onsite: <br />Consultant: z <br />Geologist: A v...etec..., Do cr. <br />Environmen_, Health Department <br />Public Water System Onsite: I=1 Yes LINo <br />Domestic Well Onsite: Yes LIN° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />COMPLETION LI Stove Pipe OChristie Box <br /> <br />casing <br />height <br />ca-sFusriox ' <br />comPLEnpN <br />Yes El No Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: 111 Yes ON° <br />If yes, spoils storage Location: <br />Covered: El Yes ON° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: r 704:),tricia <br />Depth to Water: net <br />Grout Material: <br />Gallons of Grout Used: 1,00) /bp <br />LI Well Installation GAell Destruction <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />EBoring Installation IllBoring Destruction <br />METHOD USED <br />ElPressure Grout Over Drill <br />LI Gravity &Kremie 00ther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />cement 941b <br />Bags <br />Thickest Thinnest #Bags Thickest Thinnest #Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 5 25 50 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <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 />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 ZE-I <br />5 <br />I to <br />22 H r,0 (17 16 to <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com