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Min 2" Annular EHD Seal Verified: <br />Screen Length From: <br />Filter Pack From: <br />Bentonite From: <br />Grout From: <br />0 Yes 0No <br />To: <br />To: <br />To: <br />To: <br />COMPLETION 0 Stove Pipe <br />casing <br />height <br />0Christie Box <br />CHRISTY-BOX <br />COMPLETION <br />SAN,JOAQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date:,0c3 2o2N Inspector: (-iT CONSTRUCTION <br />Facility Address: 4;=,rt-c=,•9 - <br />Well Address: 1,) 42rtal Depth: <br />WP# \\R -LAtc, Well#: ‘\1 f \ Drilling Rig Type: <br />Soil Boring#: , 3- <br />Drilling Company: <br />Driller Onsite: <br />Consultant: s\tic).. I ''S,\)--Vp <br />Geologist: <br />Public Water System Onsite: <br /> <br />O Yes 'ViNo <br />Domestic Well Onsite: <br /> O Yes No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes 0No <br />SPOILS <br />Contamination Noted: LI Yes Vf\\Io <br />If yes, spoils storage Location: <br />Covered: <br /> 0 Yes *o <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: =-/-s-- <br />0Well Installation OWell Destruction <br />0Boring Installation Boring Destruction <br />METHOD USED <br />0Pressure Grout 00ver Drill <br />0 Gravity Tremie 00ther: <br />Water <br />gallons <br />Cement 47113 <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest # 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 3k 60 6 <br />17.5 35 7 35 70 7 <br />20 '40 40 80 8 <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 />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 />Screen Feet <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sioehd.com