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SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br />' Greatness 9rows her ,z <br />Monitoring Well/Soil Boring Inspection Report <br />COMPLETION 0 Stove Pipe OChristie Box Public Water System Onsite: 0 Yes ONo <br />_te <br />slotted <br />secton <br /> re <br />Date: \1--6 I 2-1-- Inspector: <br />Facility Address: *AV iC0 <br />Well Address: <br />WP# OOKt-K-,2) Well#: <br />Soil Boring#: C) \ 05.1.12g., 0 7 • <br />Drilling Company: VIN <br />Driller Onsite: Pq\-\\NoDkA, <br />Consultant: Ut..\\(),C,Q,c11‘ 146\ FiV>gba-d0') <br />Geologist: :S(NA.>--, <br />Domestic Well Onsite: 0 Yes ON° <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: LI Yes ElNo <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: u6' <br />Depth to Water: no <br />Grout Material: r\e_A <br />Gallons of Grout Used: et..20v <br />0Well Installation 0 Well Destruction <br />OBoring Installation gBoring Destruction <br />METHOD USED <br />OPressure Grout 00ver Drill <br />'Gravity 0 0 Other: <br />Water <br />gallons <br />Thickest Thinnest <br />...Cennent471b <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />--Alikags Thickest Thinnest g Bags <br />2.5 5 5 10 1 <br />5 10 1 2 1 10 10 20 <br />7.5 15 3 i f 15 30 3 <br />10 20 4 20 ao 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 ao 80 8 <br />casing <br />height <br />CHR1STY-BOX <br />COMPLETION <br />Ground Swfacs <br />grout <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 />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 <br />II etop <br />0 Yes ONo <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com <br />(v0 CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />0 Yes ONo <br />Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />0 Yes El N o <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: