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��^�: ,: c,r�,a, <br />SAN JOAQUIN <br />--COUNTY---- <br />Gr-eut�si::ss yro�rs ire; �� <br />Date: � ��' � Z <br />Facility ddress: �1 <br />Well Address: <br />W P#��"�`L�2 _ <br />Soil Boring#: �� 5 <br />Drilling Company: _ <br />Driller Onsite: <br />Consultant <br />Geologist: <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Inspec or: ��1i <br />�X1�" <br />Well#: <br />Public Water System Onsite: <br />Domestic Well Onsite: <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: <br />If yes, material: <br />❑ Yes ❑No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑Yes ❑ No <br />❑ Yes ❑ No <br />GROUTING or DESTRUCTION Total Depth: '�° <br />Depth to Water: i��3 �J��°�v <br />Grout M ato r i a l s v��.C��.� Cgl►�'��,���` <br />Gallons of Grout Used: <�����,� <br />❑Well Installation ❑Well Destruction <br />❑Boring Installation [%Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑,Gravity <br />❑Tremie <br />/ice' `l <br />❑Other: <br />V'dater <br />Qall�ns <br />Cer - ent 471 <br />i <br />i Ba?s ! <br />5% Mix <br />;Vater <br />gallons <br />Cernent 941f� <br />Ea s <br />Thickest <br />Thinnest <br />�' n BaR <br />4.7 <br />Tf��ickest <br />TI-�innest <br />� Bads <br />2.5 <br />S <br />��� � <br />5 <br />lU <br />1 <br />s <br />lU <br />2 <br />10 <br />zo <br />z <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />1l1 <br />2U <br />4 <br />20 <br />�U <br />4 <br />12,5 <br />25 <br />5 <br />25 <br />5U <br />5 <br />15 <br />3U <br />6 <br />3U <br />6U <br />6 <br />35 <br />7U <br />7 <br />17.5 <br />35 <br />7 <br />4U <br />3U <br />8 <br />20 <br />4U <br />S <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 />ABOYE-�GAG�UND <br />cas irg <br />height <br />CO MR' LET 10 N Gt-iA SSTI'-BO X <br />COhiPtET1CN <br />C3rcwnd Surfxs <br />Q�ovt <br />ft. <br />i�t. <br />it, <br />3% Mix <br />5% Mix <br />Bentonite per 4� Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2.82 <br />4.7 <br />�� <br />.,ti.i <br />�_ <br />�8 <br />aA <br />slotted <br />_ <br />_" <br />`<< <br />-- <br />. <br />+7v� <br />ti <br />�t- <br />:' <br />_. <br />, <br />��"` <br />tt. <br />— <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 />q <br />m <br />a <br />c <br />r • � <br />Screen <br />tt. <br />Feet <br />BentonitelGement Mix <br />3% Mix <br />5% Mix <br />Bentonite per 4� Ib <br />1.41 <br />2.47 <br />Bentonite per 94 Ib <br />2.82 <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 />