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SAN 10AQUIN <br />COUNTY <br />reutness grows Mere. <br />Environmental Health Department <br />Monitoring well boll Boring Inspection Report <br />Date, /Z ZZ Inspector: vG� wl a' <br />Facility Address.ltea/ CAAASO ^4=004,ff <br />Well Address: <br />WP# Ob 4 5105 Well#, CP -/3 <br />Soil Boring#:Se , 30"0 /2S*o <br />Drilling Company: ?a <br />Driller Onsite: �e�.K.ai't <br />Consultant: ,,w7 ! ZPo'o dAwl/OlG <br />Geologist: A rolg000etj Dorn <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 ;r <br />@T7�11Cy <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑Yes ❑No <br />GROUTING or DESTRUCTION -Total Depth:- ---- <br />Depth to Water: <br />Grout Material. ffe 6!At296f <br />Gallons of Grout Used: <br />❑Well Installation ❑Well Destruction <br />:]Boring <br />Installation L✓JBoring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity L�lTremie ❑Other: <br />Water <br />allons <br />Gement 471b <br />ea s <br />S°I° Mix <br />Water <br />allons <br />Gement 941b <br />Ba s <br />Thickest <br />Thinnest <br />P Bags <br />4.7 <br />Thickest <br />Thinnest <br />#Bags <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 />115 <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 />? <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 7T <br />8 <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑Yes ❑No <br />Screen Length From: To: <br />Filter Pack From: To. <br />Bentonite From. To: <br />Grout From: To: <br />COMPLETION ❑Stove Pipe ❑Christie Box <br />casing <br />height <br />VE -GROUND C#iAtSTY-80X <br />GOiwi?L.Ef}ON COMPLETION <br />Ground Surfxs <br />grout <br />ft. <br />low <br />ft. <br />ft. <br />-- <br />~d b <br />C <br />t`M�� O <br />slonad y <br />�Qn ��y�.yy <br />v Qmvw Pack <br />�F <br />it. ft. <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet <br />Slot Size, <br />Bags of Cement, <br />as Sand/Gravel: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Type of Method: <br />Screen <br />Feet <br />BentonitelOement Mix <br />3% Mix <br />S°I° Mix <br />Bentonite per 47 Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2082 <br />4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sicehd.com <br />