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SANJOAQuIN <br />COUNTY= Environmental Health Department <br />_ ...1 <br />LI'kJtn8S5 gro:yc l;rre_ <br />MonitollringWrrell/Soil Boring Inspection Report <br />Date: w Inspe tor: �t�U (�/�c CONSTRUCTION <br />Facility Address: lot <br />K� <br />Well Add res : Total Depth: <br />WP# 00 Well#: Drilling Rig Type: <br />Soil Boring#: — Min 2" Annular EHD Seal Verified: ❑ Yes ❑ No <br />Drilling Company: G <br />Driller Onsite: <br />Screen Length <br />f <br />From: <br />To: <br />I F 04 0 <br />Consultant: <br />Filter Pack <br />From: <br />To: <br />Geologist: <br />Bentonite <br />From: <br />To: <br />2 <br />Grout <br />From: <br />To: <br />Public Water System Onsite: <br />❑ Yes ❑ No COMPLETION <br />❑ Stove Pipe <br />❑Christie Box <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 ❑ No <br />SPOILS <br />Contamination Noted: ❑ Yes ❑No <br />If yes, spoils storage Location: <br />Covered: ❑ Yes 0 N <br />If yes, material: <br />GROUTING or DESTRUCTI N Total Depth: (yo <br />Depth to Water: <br />Grout Material: /y <br />Gallons of Grout Used: 15 5—PA ifp — <br />❑Well Installation ❑Well Destruction <br />❑Boring Installationl�ering Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity >6_'�remie ❑Other: <br />Water <br />gallons <br />Cement 47 lb <br />Bas <br />Water <br />gallons <br />Cement 94lb <br />Bap <br />Thickest Thinnest <br />4 Bags <br />Thickest Thinnest <br />9 Bags <br />5 1 <br />10 1 <br />2 <br />10 <br />1 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 />5 <br />15 <br />30 <br />6 <br />30 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />�L70 <br />710 <br />40 <br />8 <br />40 <br />8 <br />cas i.ng <br />height <br />AWV GROUND ci IsrYaax. <br />GQh1PLEflON COMFLEnfoN <br />ro <br />ovna surface <br />grout <br />ft_ <br />tt_ <br />ft. <br />siotWd :. <br />s+cson '— <br />grx'iw Pack <br />ic. I F— tr. <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 Fec i <br />Bentonite/Cement Mix 3% Mix_ 5_%, Mix <br />Sentonite 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 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />