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casing <br />height <br />CHS:smear <br />CCratET1ON <br />Ground Surface <br />grout <br />to <br />slotted <br />sacdon <br />gravel pack <br />ft. <br />SAN-JOAQUIN tati 7) COUNTY <br />\ ,11Sztdr/ Greatness grows here <br />Environmental Health Department <br />kbcviv,. Monitoring Well/Soil Boring Inspection Report <br />Date: 21 \ \ Inspector: C.A.V11(..K) CONSTRUCTION <br />Facility Address: 2 ScA.A-VI Cixd Movo (2c1 <br />Well Address: <br />WP# 004\ (-k Well#: <br />Soil Boring#: <br />Drilling Company: Cke Min 2" Annular EHD Seal Verified: A-k,s( 06%1 <br />Driller Onsite: Screen Length From: <br />9.6,11,hret oilter Pack From: <br />"Oik.k( Bentonite From: <br />Grout From: <br />Public Water System Onsite: 0 Yes 0 No <br />Consultant: <br />Geologist: <br />COMPLETION LI Stove Pipe <br />Yes ENo <br />To: <br />To: <br />To: <br />To: <br />EChristie Box <br />Total Depth: <br />Drilling Rig Type: <br />Domestic Well Onsite: 0 Yes EN° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: E Yes LINo <br />SPOILS <br />Contamination Noted: 0 Yes 0 No <br />If yes, spoils storage Location: <br />Covered: 0 Yes El No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: (NO'vJC.k.k"2-)C - <br />Grout Material: Ni <br />Gallons of Grout Used: "25 <br />E Well Installation EWell Destruction <br />DBoring Installation RIBoring Destruction <br />METHOD USED <br />DPressure Grout D0ver Drill <br />Li Gravity ATremie DOther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest It 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 e-• 20 40 4 <br />12.5 25 5 .9 25 50 5 <br />15 30k" 6 ,-- 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <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 2.47 <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