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°�`� <br />° SAN JOAQUIN <br />< « Environmental Health Department <br />r �` COUNTY <br />Sir Greumess grows hero <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Inspector: <br />Facility Address:'T,✓;5 <br />; Ar/ U g � !$jk <br />Well Address: <br />Water <br />eallons <br />WP# A3 <br />Well#: <br />Soil Boring#: V. <br />,SL <br />Drilling Company: <br />Q it t.0 <br />Driller Onsite: <br />'r <br />Consultant: <br />w ,O�l <br />Geologist: <br />" -a <br />Public Water System Onsite: ❑ Yes ❑No <br />Domestic Well Onsite: ❑ Yes ❑No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: ❑ Yes El No <br />SPOILS <br />Contamination Noted: ❑ Yes El No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes ❑ No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: )0" <br />Depth to Water: Ow -L - <br />Grout Material: 11�i""A- ( 2m-" <br />Gallons of Grout Used: 6A, <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation <br />,P16oring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />ravity ❑Tremie ❑Other: <br />rr1NCTR1 U-TinKI <br />Total Depth: _-- <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: <br />From: <br />From: <br />From: <br />❑ Stove Pipe <br />❑ Yes ❑ No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />casing <br />height <br />ABOVE-GRCUND Gt1SSTY SOX <br />CONPLErION COMPLETION <br />Ground sunac. <br />grout <br />1 ft. <br />ft. <br />ft. _ <br />— o <br />slottad <br />sarion _ B <br />pravai pacsc <br />C�> Ivy <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />eallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />4Bags <br />Thickest Thinnest <br />4Bags <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 />1 <br />35 <br />1 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <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.sicehd.com <br />