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SANIOAQUIN <br />—COUNTY <br />— <br />Greotness grows here, <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Inspector: CONSTRUCTION <br />Facility Address: 't,b4,00 0 - <br />Well Address: �JCA-l-Total Depth: <br />WP# "\n 10,0 Well#: D_ Drilling Rig Type: <br />Soil Boring#: Q-��4b i b"�, Min 2" Annular EHD Seal Verified: <br />Drilling Company: <br />❑ Yes ❑ No <br />Driller Onsite: .J t*1 Screen Length From: To: <br />Consultant: Filter Pack From: To: <br />C'<�►J� <br />Bentonite From: To: <br />Geologist: <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING A\31'k <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes <br />❑ Yes <br />❑ Yes ❑No <br />❑ Yes VN 0 <br />❑ Yes /No <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: S <br />Grout Material: <br />Gallons of Grout Used: Zsp� 30 <br />❑Well Installation �[]Well Destruction <br />❑Boring Installation oring Destruction <br />nnFTlunn I ICFn <br />❑Pressure Grout ❑Over Drill <br />EJ Gravity PTremie ❑Other: <br />Water <br />gallons <br />Cement 471b <br />Bas <br />Water <br />gall ons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />ttBags <br />Thickest Thinnest <br />#Bags <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 />17.5 <br />3 <br />7 <br />35 <br />70 <br />7 <br />20 <br />0 <br />40 <br />80 <br />8 <br />Grout <br />(Y1MPi FTIr1N <br />From: <br />❑ Stove Pipe <br />To: <br />[]Christie Box <br />—r— casing <br />T height <br />f T <br />ABOVE -GROUND CtiRMay-BOX <br />COMPLETION COMPLETION <br />CYncind sul� +— <br />flrout <br />tt. <br />-- o <br />slotted _ <br />sac5on <br />pack <br />it. = 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 />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sacehd.com <br />