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SAN�JOAQUIN <br />Environmental Health Department <br />I' --COUNTY— <br />` <br />Oar"' Greatness grows her(,. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 1 oi li 2 I Inspector: CONSTRUCTION <br />Facility Address: 114i o O l) ` ti <br />Well Address: Total Depth: <br />WP# V Jai 2 S� Well#: 1 i�illing Rig Type: <br />Soil Boring#: Min 2" Annular EHD Seal Verified <br />Drilling Company: tok%' k- L'Xn1fl� ra��0'U-S Screen Length From: <br />Driller Onsite: A'n�Y t �J <br />Consultant: Filter Pack From: <br />Geologist: tja& +w\ Bentonite From: <br />Grout From: <br />Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe <br />Domestic Well Onsite: ❑ Yes El No <br />If yes, location and distance: <br />SAMPLING <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 ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth:T <br />Depth to Water: 01 N <br />Grout Material: wi,% <br />Gallons of Grout Used: 'Io <br />❑Well Installation ❑Well Destruction <br />El Boring Installation <br />)koring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />XGravity ❑Tremie ❑Other: <br />Water <br />gallons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />uBags <br />Thickest Thinnest <br />It Bags <br />2.5 5 <br />1 <br />5 <br />10 <br />1 <br />5 10 <br />2 <br />10 <br />20 <br />2 <br />7.5 1-51 <br />31 <br />15 <br />30 <br />3 <br />10 20 <br />20 <br />40 <br />4 <br />12.5 <br />5 <br />25 <br />50 <br />5 <br />15 30 <br />6 <br />30 <br />60 <br />6 <br />17.5 35 <br />7 <br />35 <br />70 <br />7 <br />20 40 <br />8 <br />40 <br />80 <br />8 <br />❑ Yes El No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />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 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />