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casing <br />height <br /> <br />cmAmiy-pox <br />commengN <br />Grodnd Su-fact <br />_ft <br />stoned <br />&Acton <br />ft. I <br />ft <br />ft <br />crawl Pack <br /> ft <br />S77- u.s.t.44 MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank 3 <br />P/c_ si.4.„(40 <br />Feet Screen "Le Feet <br />Slot Size: .o, c, <br />Bags of Cement: 4.1.irr .c I II <br />SANJOAQUIN !, <br />COUNTY <br />urcutitess grows here <br />Environmer..al Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Ij )140)11 Inspector: Le."- Y.4,• <br />Facility Address: all <br />Well Address: se <br />WP# (7031 534 Well#: <br />Soil Boring#: <br />Drilling Company: t)e-Ant, Ces,rit- <br />Driller Onsite: <br />Consultant: St-,r1KA-1003 <br />Geologist: <br />Public Water System Onsite: 111 Yes IIINo <br />Domestic Well Onsite: CI Yes 111No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: El Yes ON° <br />SPOILS <br />Contamination Noted: El Yes E No <br />If yes, spoils storage Location: <br />Covered: ElYes Ill No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: <br />E Well Installation LIWell Destruction <br />111Boring Installation LIBoring Destruction <br />METHOD USED <br />II=I Pressure Grout 00ver Drill <br />LII Gravity 111Tremie 1110ther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest 413ags Thickest Thinnest 4Bags <br />2.5 s 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 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />CONSTRUCTION <br />Total Depth: Li (-)1% <br />Drilling Rig Type: (7"elt, erbb-L., bvt-c-pe_S <br />Min 2" Annular EHD Seal Verified: kles LI No <br />Screen Length From: 31 To: <br />Filter Pack From: ks4... garb To: -z-o <br />Bentonite From: 1,0 piv To: i i .Fr <br />Grout From: 11 eb To: 5.,f-r-ite.sk <br />COMPLETION ilKtove Pipe OrChristie Box <br />1-- ‘k <br />Bags Sand/Gravel: tri <br />Type/Brand of Bentonite: c_A"-;1 /4 4:LS <br />Filter Pack Type/Size: _ce...--424 JP 3 <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 />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