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S� AN JOAQUIN <br /> sdYlli)i <br /> monit-odrig Welif"150H 01oring 'InspeCtion Report <br /> Dale: 1111[vi, Inspector:_OP C0 NSTRt.FCTE0 <br /> Facility Address: 11011 S. <br /> -Well Address: To al Depth: <br /> WPT-.r 0011jov Well: Drilling Rig Type: <br /> Soil Boring}: 1, <br /> Drilling Company Aj 40ED ttb iviin 2" Annular END Seal Verified: El Yes EINo <br /> Driller Onsite: VAVV uvDcQ- Screen Length From <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water Systern Onsite: ID Yes ONo ' <br /> C C, ,P!E T I Ot N Ej SLove Pipe OChrisLie Box <br /> Domestic Well Onsite: 0 Yes EINo <br /> 11 Yes, location and distance: <br /> Z <br /> S 11 M P L I N G U <br /> pJs <br /> Hicild ing Tern pe rat-Ure: <br /> Method: <br /> Scrieening N/le-I'Lliod: <br /> Verif ied Chai 1 0'f CLIstody: 10 Yes EjNc <br /> S P 0 1 L S <br /> Contar-nination Noted: Ej_Yes Ol N o <br /> 11 yes;spoils storage Location: <br /> C� <br /> Covered: El Yes El.,'\!o <br /> i gmv*' <br /> Inaterial: "EH, .4 If <br /> Depth:GROUTING or DESTRUCTION Total )ep'-Ii: <br /> Depth to\Nal.er: <br /> GrOLJL Material: Pg4W COON *'- <br /> ! P <br /> Gallons of Grout Used: 1 ATERALD ,'. <br /> 1�N <br /> Casing I <br /> Type: <br /> Okk/ell Installation DA/ell Destruction Blank --Feet Screen Feet <br /> ,E)Boring Installation 54Boring Destruction <br /> Slo L, Size: <br /> Bags 014 Cement: <br /> M E 111'0 D U SE D Bags S36d,/Gravel: <br /> __7lPressureGrout- 110vef- Drill Type/Brand of Bentonite.- <br /> L Filter PaCl:Type/S!7'`: <br /> EI Gravity 071-1 re m I e Elot-her: Type of Method: <br /> ...V-.-L E 1, 02!7!e 11 L 41 7 1 b Vy'a."Er Cem2n-9411) <br /> uilon, Ba.— Pail ons <br /> Ba <br /> P- --g CIE x <br /> Thinnest B:�3 9 "nite!cen 6 1 LII.I.X P, f4b PAux <br /> T.. <br /> I hicke'u, <br /> 2.5 1 5 I 1 5 1 nj�pj-�I7L <br /> ! - l. jar111 2.41 <br /> 5 ag I 10 l 20 B en..`o,n i'L`e p e r 4 1b I 2.2,21 4.7 <br /> 15 30 <br /> C I 2 0 <br /> --12.5 1 25 T 25 I '50 I5 <br /> s so i 6 so I 60 I 6 <br /> -3 7 '6' I 70 <br /> '00 1 G 6 2 0117 <br /> 1068 E.HwAw Avenue 1 Stockton,Caflfomla 0520.-i T 209 4-68-'34201 P 209 4,64-0138 1 %vww.sjcehd,ccm <br />