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1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com <br />Well#: moo z, WP # 400 <br />Soil Boring#: <br />Drilling Company: A ,A) A <br />Driller Onsite: Adko <br />COMPLETION <br />z' From: et To: <br />El Stove Pipe j:2Christie Box <br />Filter Pack Type/Size:11-3 <br />El Gravity Type of Method: -ft 4f ETremie 11Other: fr 4"1 <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 2127/if Inspector: At el.. <br />Facility Address: 3 6. (-444- s-i- rut 0-4-- <br />Well Address: <br />Consultant: /9,1vAl c-e <br />Geologist: AP(. <br />Public Water System Onsite: CI Yes EINo <br />Domestic Well Onsite: 0 Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: CI Yes 111No <br />SPOILS <br />Contamination Noted: 0 Yes 0No <br />If yes, spoils storage Location: <br />Covered: CI Yes II No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 2-01 <br />Depth to Water: Ak:, LA-4.1 e <br />Grout Material: ,•vestAtgooks.ft-A <br />Gallons of Grout Used: 7J. 7 , j ars I 10,4- <br />gWell Installation fidW ell Destruction <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: IM.Yes El No <br />2o 1 From: 5 To: <br />From: To: ZO <br />From: To: <br />casing <br />height <br />CHRISTY-BOX <br />COMPLETION <br /> GrOUrKi Stxface <br />grcet <br />ft <br />ft <br />slotted <br />s•cton <br />ft <br />MATERIALS/DEVELOPMENT <br />Casing Type: i've 5e-1.1 go <br />Blank 5 Feet Screen 5 1 Feet <br />cre_gr iftaole <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />Slot Size: ao w <br />Bags of Cement: 41-45x-tr-s---fri-r—d-e.41,--kra4-e. <br />Bags Sand/Gravel: q IS -For 104.e_ <br />Type/Brand of Bentonite: 7/V <br />0Boring Installation El Boring Destruction <br />METHOD USED <br />CIPressure Grout I=10ver Drill <br />all <br />....a.,t,er Cent 471 Csitr: <br />Bas" <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinnest fags Thickest Thinnest St 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 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />ti? <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 />SANJOAQUIN Environmental .lealth Department COUNTY <br />\\\411tL ' Greatness grows here