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0No Min 2" Annular EHD Seal Verified: 0 Yes <br />COMPLETION CI Stove Pipe EChristie Box <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />ABOM/E-GROUND <br />COMPLETION CHRLSTY-BOX <br />COMPLETION <br />Ground Surface <br />casing <br />height <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />_ft <br />slotted <br />aeolon <br />Jr <br />grout <br />4. ft. <br /> ft <br />gravel pack <br />ft. <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest *Bags Thickest Thinnest flags <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 />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 />1 271(/1 VVor+-- <br />(,,ek-te <br />o co-kt4tAlks_ jr-0 <br />6rov,--1174. <br />it <br />SAN JOAQUIN <br />COUNTY <br />Greatness 9rows herc <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: iVil/fg Inspector: 3-eir e4-4/61 <br />Facility Address: E01 Dianond St 5tocaon, CA <br />Well Address: Fo)Vianco01 <br />WP # 0039 O7 Well#: <br />Soil Boring#: Kg4-1 <br />Drilling Company: CR5CaSe Vri llsnc U' <br />Driller Onsite: -.5br(iP <br />Consultant: Ken ned9 rjenk; <br />Geologist: Hke. <br />Public Water System Onsite: CI Yes 0No <br />Domestic Well Onsite: CI Yes 0No <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: CI Yes 0No <br />If yes, spoils storage Location: <br />Covered: El Yes 0 No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: <br />OWell Installation ElWeIl Destruction <br />ClBoring Installation oring Destruction <br />METHOD USED <br />OPressure Grout 00ver Drill <br />Cl Gravity Xremie 00ther: <br />CONSTRUCTION <br />Total Depth: 52 Pt <br />Drilling Rig Type: Cill.fre f7a5h <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank <br /> <br />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 />Screen Feet <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com