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ABOVE-GROUND <br />CO NV LETION <br />Ground Stsfaes <br />_ft <br /> <br />slonad <br />sacton <br /> <br />ft. <br /> <br />SAN JOAQUIN <br />--COUNTY <br />Greatness grows hen.. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date:52 21—Z1 Inspe <br />Facility Address: ,e9 <br />Well Address: <br />vv P# C.F0e-)/Gt/ Well#: <br />Soil Boring#: (.4D 7= 5... <br />Drilling Company: Geo- (-4- s tikdoAe <br />Driller Onsite:Aler hi4e(del-p <br />Consultant: Nor-k" <br />Geologist: A <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: LI Yes EINo <br />To: <br />To: <br />To: <br />To: <br />: <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout <br /> From: <br />Public Water System Onsite: CI Yes ENID <br />COMPLETION 0 Stove Pipe <br /> <br />EChristie Box <br />Domestic Well Onsite: Li Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: E Yes 0No <br />SPOILS <br />Contamination Noted: CI Yes Li No <br />If yes, spoils storage Location: <br />Covered: E Yes ON° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: 17 <br />Grout Material: <br />Gallons of Grout Used: <br />EWell Installation 111 Well Destruction <br />Li Boring Installation 1 .{3oring Destruction <br />METHOD USED <br />Pressure Grout 00ver Drill <br />Gravity ciTremie 00ther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thin St # Bags Thickest Thinnest #Bags <br />2.5 <br />7 <br />a 5 10 1 <br />5 10 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 />casing <br />height <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen 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 />BentonitelCement 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 />5-71 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com