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0 Stove Pipe COMPLETION 111 Christie Box Public Water System Onsite: 111 Yes 0N0 <br />CONSTRUCTION <br />Facility Address: et Col.DAVK l'ay/04r5t )3rix. kto <br />Well Address: Total Depth: <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 2/5/U Inspector: SIA.,53KK ' <br />Soil Boring#: 0 j (P/ <br />Drilling Company: lit 1A/ <br />Driller Onsite: <br />Consultant: Vatto.c. e 1 o c <br />Geologist: 7/0.0 Zitt"- <br />Min 2" Annular EHD Seal Verified: 0 Yes 0No <br />To: <br />To: <br />To: <br />To: <br />WP# Drilling Rig Type: <br />Domestic Well Onsite: 0 Yes 0 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: El Yes 0 No <br />If yes, spoils storage Location: <br />Covered: 0 Yes 0N0 <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 13-15c€ • <br />4-10 (t. <br />LI Well Installation 0 Well Destruction <br />El Boring Installation ring Destruction <br />METHOD USED <br />0Pressure Grout 00ver Drill <br />t,MGravity 0Tremie CI Other: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94lb <br />Bags <br />Thir.kr2t <br />2.5 <br />Thinne.,,t <br />5 <br />4 B,3g, <br />1 <br />Thickest Thinnest n Bags <br />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 />casing <br />height <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 2.41 <br />Bentonite per 94 lb 2.82 4.7 <br />10/16/2017 <br />Depth to Water: <br />Grout Material: <br />Gallons of of Grout Used: 3 to if%). 19095 yiev hole <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com <br />D9 <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />ABOVE-GROUND <br />COMPLETION CHRISTY-80X <br />COMPLETION <br />SAN JOAQUIN Environmental Health Department <br />COUNTY- . \ Greatness grows here. <br />From: <br />From: <br />From: <br />From: