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f, SAN JOAQUIN <br />ta::_ —COUNTY— <br />, <br />Greatness q;o;.s here. <br />Environmental Health Department <br />q <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Z (/�— Inspector: JJ C CONSTRUCTION <br />Facility Address:Svcs J <br />Well Address: dt U3 Total Depth: <br />WP# u d S Well#: Drilling Rig Type: <br />Soil Boring#: <br />Drilling Company: (nf C� J C�S-� -IUr Min 2" Annular EHD Seal Verified: <br />❑ Yes ❑No <br />Driller Onsite: Screen Length From: To: <br />Consultant: z%i Ci C -Z'1't C. Filter Pack From: To: <br />Geologist: r6L Bentonite From: To: <br />Grout From: To: <br />Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑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 />cpnn c <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 Z7J zl j 30/ <br />Depth to Water: b e j" t e-, <br />�-�- <br />Grout Material: MeGtf (/'1 e-)4MATERIALS/DEVELOPMENT <br />Gallons of Grout Used %(�,T1 i S� �-S <br />Casing Type: <br />❑Well Installation ❑Well Destruction Blank Feet <br />casing <br />1HT height <br />ABOVE -GROUND C'Mza r-aox <br />COMPLETION CO APLET70N <br />Gra ind Surface <br />proLn <br />n. <br />tt. <br />ft. <br />= w <br />.v,I' �• C <br />= O <br />sbttad = � <br />aacson - — <br />_ Pack <br />❑Boring Installation`RBoring Destruction <br />METHOD USED <br />❑Pressure Grouter Drill <br />ravityremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest <br />4'Bags <br />Thickest Thinnest <br />OBags <br />2.5 5 <br />1 <br />5 <br />10 <br />1 <br />5 10 <br />2 <br />10 <br />20 <br />2 <br />7.5 15 <br />3 <br />15 <br />30 <br />3 <br />10 20 <br />4 <br />20 <br />40 <br />4 <br />12.5 25 <br />5 <br />25 <br />50 <br />5 <br />15 30 <br />6 <br />30 <br />60 <br />6 <br />17.5 35 <br />7 <br />35 <br />70 <br />7 <br />20 40 <br />8 <br />40 <br />80 <br />8 <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 />