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� 8 &J ]U8OU|0 <br /> `�Hm��ua4u|M ��nv'roK�00��ntaU Health U�K�K�a���ent <br /> r 7 —COUNTY-- <br /> Grentnsa «,nns here. <br /> Monitoring VVeU/SO'| Boring |DSD8[t'OD Report <br /> Date: <br /> u~ � <br /> ��t."� CONSTRUCTION <br /> Well Total Depth: <br /> WP# VVe||#: Drilling Rig Type: <br /> Soi| Boring#� <br /> � Min 2"Annular EHDSeal Verified: 11 Yes []No <br /> Drilling Company: Screen Length From: To: <br /> Driller Onsite: �-------- �---------- <br /> Filter From: �To <br /> Consu|tant� ' �-------' � <br /> `---------- <br /> Bentonite From: To <br /> 5eu|u�ist� -------' �---------- <br /> Grout From:� To: <br /> --__-_- �_-_---_--- <br /> Public Water System Onsite: [] Yes []No {Z}MplfTXOV [] Stove Pipe []Christie Box <br /> Domestic Well Onsite:� [] Yes []No <br /> Casing <br /> if yes, location and distance: h4alsh'` <br /> SAMPLING �-~ <br /> Holding Temperature: C"Wu=/^^= cmea"usipe <br /> cm�oao"�"� ' <br /> Method: <br /> Screening Method- grout <br /> Verified Chain ofCustody: [] Yes []No <br /> SPOILS <br /> � <br /> Contamination Noted: LJ Yes []No <br /> If yes, spoils Location: <br /> ' <br /> Covered: [] Yes []No ] <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth toWater: <br /> Grout Material: <br /> Gallons ofGrout Used: <br /> Casing Type: <br /> �p�eUinstallation E]VVeUDetrucdon Blank Feet Screen Feet <br /> LJ8ohngInstallation []Buhng Destruction Slot Size: <br /> Bags cfCement: <br /> METHOD USED Ba@pSand/Grave|: <br /> Type/Branduf8en�onite� <br /> []PnssureGrout Dover Drill <br /> Filter Pack Type/Size: <br /> El Gravity Rrmie OOther: Type of Method: <br /> Water Cern ent 47 1b Water Cement 941b <br /> Thickest Thinnest 4 Bags Thickest Thinnest Bags Bentonite/Gement Mix 3% Mix 5% Mix <br /> 2.5 5- 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10' 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 10 20 A 20 40 4 <br /> 20 40 a 40 so 8 <br /> 10/16/2027 <br /> 1868 E. Hazelton Avenue S1ockton, California 95205 1 T 209488-34201 F 209464'0138 1 <br /> ~ �� *u*I 1~~ � <br /> = <br />