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Total Depth: <br />Drilling Rig Type: <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />D Stove Pipe COMPLETION LIChristie Box Public Water System Onsite: 0 Yes ONo <br />D Yes 0 No Domestic Well Onsite: <br />Yes EINo Verified Chain of Custody: <br />SPOILS <br />Boring Destruction ElBoring Installation <br />METHOD USED <br />SANAAQUIN <br />COUNTY <br />Greatness grows here <br />Facility Address: I no c_ I-te-41,-7rribr <br />Well Addres,s:, <br />WP#6091q4 6 <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />Environmental Health Department <br />CONSTRUCTION <br />Min 2" Annular EHD Seal Verified: Li Yes 0No <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />In s pe cto r: I <br />Monitoring Well/Soil Boring Inspection Report <br />Date:5 /21 <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Contamination Noted: D Yes 0No <br />If yes, spoils storage Location: <br />Covered: D 62 If yes, material: <br />N o <br />GROUTING or DESTRUCTION Total Depth: 1 0 'i '2-49 <br />Depth to Water: flora._ , <br />Grout Material: A7.e*-1- Wrrteirl-j- <br />Gallons of Grout Used: /•-• Li0 0) PI <br />0 Well Installation 0Well Destruction <br />Pressure Grout 1110ver Drill <br />'Gravity DTremie 1=10ther: <br />Water <br />gallons <br />Cement(171> <br />Bag <br />Water <br />gallons <br />Cement 94W <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest 4 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 ao 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 />CHRISTYBO X <br />COMPUTION <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 />1 111 1868 E. Hazelton Avenue I ockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.corn <br />10/16/2017 <br />Well#: <br />ABOVE-GROUND <br />COMPLETION