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Domestic Well Onsite: <br /> 0 Yes ON° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />casing <br />height <br /> <br />ABOVE-GROUND <br />COMPLETION <br /> <br />CHRISTY-BOX <br />COMPLETION <br /> <br />Ground Surfacs <br /> <br />SANdOAQUIN <br />COU N TY <br />Greatness grows here <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: IA Inspector: na,5 <br />Facility Ad ress: (65'51uercc 9-• <br />Well Address: L.CAAN\f0p, <br />WP# cr it(622-Well#: <br />Soil Boring#: C 01'2- <br />Drilling Company: let'? Ex.. <br />DrillerOnsite: 't 04- • <br />Consultant: <br />Geologist: <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes ON° <br />To: <br />To: <br />To: <br />To: <br />&A:go Qc- <br />Ccxxe <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout <br /> <br />From: <br />Public Water System Onsite: Yes li1No COMPLETION E Stove Pipe Christie Box <br /> <br />Screening Method: <br />Verified Chain of Custody: <br /> El Yes 0 No <br />SPOILS <br />Contamination Noted: 0 Yes LINo <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />GROUTING or DESTRUCT <br />Gallons of Grout Used: kb <br />Grout Material: <br />Depth to Water: <br />reo <br />2G <br />0e-tfvei\k- ' <br />El Well Installation LI Well Destruction <br />El Boring Installation oring Destruction <br />METHOD USED <br />EPressure Grout lilOver Drill <br />E Gravity Mremie 00ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinnest It Bags Thickest Thinnest # Bags <br />2.5 5 1 5 10 1 <br />5 10 2 V.- 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 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />grout <br />ft <br /> ft <br />slotted <br />gravol pack <br />ft. <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 />socton <br />N Total Depth: ck -4„ c47. ‘C;6\- <br />(\l/ ,61 \ 1 <br />ft. <br />Yes 0 No <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com