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SAN JOAQUIN <br />--- COUNTY <br />cq,r- Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: /x`73-702/ inspector: raj'' CONSTRUCTION <br />Facility Address: x/03 r, ,&1" <br />Well Address: Total Depth: <br />WP#DO Y2, ?Lb Well#: Drilling Rig Type: <br />Soil Boring#: 5/ Min 2" Annular EHD Seal Verified: <br />Drilling Company: / <br />❑ Yes ❑ No <br />Driller Onsite: w'! <br />Screen Length <br />From: <br />To: <br />Consultant: <br />Filter Pack <br />From: <br />To: <br />Geologist: <br />Bentonite <br />From: <br />To: <br />Grout <br />From: <br />To: <br />Public Water System Onsite: <br />❑ Yes El No COMPLETION <br />❑ Stove Pipe <br />❑Christie Box <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 />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />i <br />GROUTING or DESTRUCTION Total Depth: ,SS <br />Depth to Water: 30ft• <br />Grout Material: /Ike << MATERIALS/DEVELOPMENT <br />Gallons of Grout Used: <br />❑Well Installation ❑DWell Destruction <br />El Boring Installation LJBoring Destruction <br />METHOD USED <br />❑Pressure Grout <br />00ver Drill <br />❑ Gravity L�Tremie ❑Other: <br />Casing Type: <br />Blank Feet <br />/ Slot Size: <br />Bags of Cement: <br />�✓�tr' Bags Sand/Gravel: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Type of Method: <br />Water <br />allons <br />Cement 47 lb <br />Bas <br />Water <br />Rallons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />#Bags <br />Thickest Thinnest <br />1Bag5 <br />2.5 <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 />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />to by <br />ft. <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.secehd.com <br />