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To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />casing <br />height <br />ABOVE-GROUND <br />COMPLET}ON CHRISTY-BOX <br />COMPLETION <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION 0 Stove Pipe Christie Box <br />G 7-) it <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Total Depth: <br />Drilling Rig Type: t4SA <br /> <br />Min 2" Annular EHD Seal Verified: 0 Yes 0 No <br />SAN)JOAQUIN <br />,J COUNTY <br />Greatness grows here <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: LI /1 9/1:c ^ • Inspector: /C /4 CONSTRUCTION <br />Facility Address: 2-3 0 6- (+arno4.4-- I-4-) <br />Well Address: <br />WP# 00-4 1 4 6 Well#: <br />6 7- i IP) , <br />Consultant: <br />Geologist: Y"-CtqA,N <br />Public Water System Onsite: El Yes <br /> <br />ENo <br />Domestic Well Onsite: <br /> <br />0 Yes <br /> <br />111No <br /> <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes 0 No <br />SPOILS <br />Contamination Noted: 111 Yes 0 No <br />If yes, spoils storage Location: <br />Covered: 0 Yes 0 No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />ri..0 <br />Gallons of Grout Used: ^•-• (.9 <br />/4/1Aft C L/Pkttel <br />Depth to Water: <br />Grout Material: <br />Soil Boring#: <br />Drilling Company: -rf,fr—vo—CoeN <br />Driller Onsite: <br />111 Well Installation 0 Well Destruction <br />0 Boring Installation oring Destruction <br />METHOD USED <br />0 Pressure Grout EOver Drill <br />sq_Gravity 0Tremie 00ther: <br />Water <br />gallons <br />cement:1,V <br />Bags <br />water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest flags <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 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />Blank Feet Screen <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 />Feet <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-34201 F 209 464-0138 I www.sicehd.com