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SAN JOAQUIN Environmental Health Department <br /> _ COUNTY <br /> Greatness groves here, <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: o'LPLt. vary Inspector: STihlrhriwt/nNTq CONSTRUCTION <br /> Facility Address: 181m Pam. tta-�,of ttn <br /> Well Address: Total Depth: <br /> WP# 24mm0e44 Well#: !�*- -I Drilling Rig Type: <br /> Soil Boring#: Min 2"Annular EHD Seal Verified: ❑Yes El No <br /> Drilling Company: Wrin <br /> Driller Onsite: Pirdinmd, G2 Screen Length From: To: <br /> Consultant: Cl)n (ie KIP) Filter Pack From: To: <br /> Geologist: Shgnnorl. F,yan Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes LINO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes,location and distance: � height <br /> —CWT <br /> SAMPLING ABOVE-GROUND <br /> 1:OWLHTION COMPLETION <br /> Holding Temperature: cotioN <br /> Method: Ground surlan 7_ <br /> Screening Method: gran <br /> Verified Chain of Custody: ❑ Yes ONO �_ft• <br /> ft. <br /> SPOILS <br /> L a <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes,spoils storage Location: <br /> =abnad <br /> On <br /> Covered: ❑ Yes ❑No =_ gravel Pack <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth:_5,::)cS 12 5(D' <br /> Depth to Water: tt. = ft. <br /> Grout Material: cemerw- ( LA-flb) <br /> Gallons of Grout Used: TOtp,l��(OZ k 3 caal 1{ZO MATERIALS/DEVELOPMENT <br /> Casing Type: I <br /> ❑Well Installation Nell Destruction t� '\'a 1129 Blank Feet Screen Feet <br /> k g Slot Size: <br /> El Boring Installation Poring Destruction gYLOIAA' Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout ❑Over Drill Filter Pack Type/Size: <br /> ❑ Gravity )(J7emie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allans gas stations BaRs <br /> Thickest Thinnest pBags Thickest Thinnest aaggs Bentonite/Cement MIX 3°/a MiX 5°/a MIX <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 1 2.821 4.7 <br /> 7.5 15 3 35 30 3 <br /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 1 <br /> 35 70 7 <br /> 20 40 g 40 g0 8 <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 />