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-.��:'" ` SAN JOAQUIN <br />1_ , <br />I � � I .: � <br />� • � �_ `� — COUNTY----- <br />�-- ; <br />�'�� - `�' Greatness grows here, <br />��i�oF�S:� . <br />Date:3 �9'tz <br />Facility Address:_ <br />Well Address: <br />W P# � � � <br />Soil Boring#: 5a <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />Geologist: � <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Inspector: ��'r <br />�Q3 <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 />Well#: <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: ❑Yes ❑No <br />!�d � <br />Screen Length From: To: <br />Filter Pack From: To: <br />C Bentonite From: To: <br />Grout From: To: <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 T tal Depth <br />Depth to Water: d t� � <br />Grout Material: /t/ � pine <br />Gallons of Grout Used: `l" y'�c94'i <br />❑Well Installation ^❑�JWell Destruction <br />❑Boring Installation L�Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />L Gravit ❑Tremie ❑Other: <br />Y <br />C� <br />YVater <br />allons <br />Cement 471b <br />Bags <br />5°J° Mix <br />Water <br />allons <br />Cement 941b <br />ea s <br />Thickest <br />Thinnest <br />#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 />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 />35 <br />?0 <br />7 <br />17.5 <br />35 <br />7 <br />40 <br />80 <br />8 <br />20 <br />40 <br />8 <br />COMPLETION <br />❑ Stove Pipe ❑Christie Box <br />cas a.ng <br />height <br />Af30YE-GROUND GNAISTY-80X <br />COM?LErION COMPLETION <br />around s��..�--- <br />o��n <br />ft. <br />ft. <br />ft. <br />:�= = m <br />., : — p <br />= m <br />__ <br />_ o <br />slottad � _ � <br />aac�on <br />_ � �„re+ p�ac�c <br />:�:= — <br />>: — - <br />.�;,; — <br />.�,. — <br />:A�: — <br />tt. � = tt. <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 <br />Feet <br />Bentonite}Gement Mix <br />3°�° Mix <br />5°J° Mix <br />Bentonite per 47 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 />