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ABOVE-GROUND <br />COMPLETION <br />El Stove Pipe <br /> <br />PChristie Box <br />casing <br />height <br /> <br />CHRISTY-BOX <br />COMPLETION <br />SAW-JOAQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 1— r).• 1-"` Inspector: <br />Facility Address: L-k.0 SZ c)-5 <br />Well Address: j.. cN.D X>via-,o\ <br />Cos,k•\ Well#: N )( (>\ <br />Soil Boring#: A <br />Drilling Company: C,,sco 5v\,Q0 <br />Driller Onsite: <br />Consultant: . esvce-tc) <br />Geologist: N IP' <br />Public Water System Onsite: <br /> <br />El Yes IINo <br />Domestic Well Onsite: Yes pNo <br />If yes, location and distance: <br />SAMPLING jc <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Covered: P Yes PNo <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: <br />PWell Installation PWell Destruction <br />El Boring Installation Boring Destruction <br />METHOD USED <br />CIPressure Grout POver Drill <br />Li Gravity :11-remie POther: <br />Water <br />gallons <br />Thickest Thinnest <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br /># Bags Thickest Thinnest #Bags <br />2.5 ..)' cil 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 />115 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 />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: CI Yes ON° <br />To: <br />To: <br />To: <br />To: <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank <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 />P Yes PNo <br />El Yes PNo <br />N-cya <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: <br />From: <br />From: <br />From: <br /> <br />Feet Screen <br /> <br />Feet <br /> <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com