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ft. <br />El Christie Box COMPLETION El Stove Pipe <br />grout <br />ft. <br />ft. <br />ft. <br />slattad <br />secton <br />ft. <br />casing <br />height <br />CHPI— ISTY-EOX <br />COMPLETION <br />Ground Surfaca <br />s----• c;4' SAKIJOAQUIN <br />COUNTY \ .6.ge.—.4-,i- / <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: j2 /28 Inspector: Z. 13a.ciefie CONSTRUCTION <br />Facility Address: 4°1. Apec.,4,15 twt <br />Well Address: <br />WP# 00 31411 Well#: <br />Soil Boring#: OtA, s- IstVA/- <br />Drilling Company: V0. tvg‘ v CA4.4.6u,voily <br />Driller Onsite: COOFSW <br />Consultant: IC I .t>t q-tI tier <br />Geologist: Sti-C, <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: Li Yes 0No <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />0 Yes ANo <br />1E1 Yes po <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: El Yes 1=1 No <br />SPOILS <br />Contamination Noted: El Yes E No <br />If yes, spoils storage Location: <br />Covered: 0 Yes ON° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: 10 rtith4 <br />111 Well Installation 0Well Destruction <br />EBoring InstallationXBoring Destruction <br />METHOD USED <br />Ii1Pressure Grout 00ver Drill <br />0 Gravity XTremie 00ther: <br />Water <br />gallons <br />Cement 47113 <br />Bags <br />Water <br />gallons <br />cement 941b <br />Bags <br />Thickest Thinnest #13ags Thickest Thinnest #Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 5 25 50 s <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 a 40 SO 8 <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen 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 />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />ipt <br />10/16/2017 "Ly ift vos citeic k() Walton.5 of' tiJa4-4,r <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com