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COMPLETION LI Stove Pipe 0Christie Box <br />casing <br />height <br />gravial pads <br />Grodod surtaco =4, <br />?..). • <br />4 t: <br />CHA1STi-80X <br />COMPLETi9N <br />grodt <br />30 <br />siotvad <br />soclon <br />S4NAJA011 IN .;) , _c 0 u NTY—, <br />Greatness grows here. <br />Environment ilealth Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Inspector; <br />Facility ddres : _571 j-i <br />Well Address: <br />WP# Well#:1166-1 <br />S.,o44-8t-ring#: <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes ONo <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />CONSTRUCTION <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />0 Yes EINo <br />0 Yes 0No <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 />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: <br />El Yes 0No <br />SPOILS <br />Contamination Noted: EI Yes ae° <br />If yes, spoils storage Location: <br />Covered: 0 Yes <br />If yes, material: <br />Depth to Water: <br />GROUTING or DESTRUCTION Total Depth24- 30 <br />r <br />G Grout Material: <br />Gallons of Grout Used: 9p / 90 <br />/ <br /> I <br />EWell InstallationrVI 411 Destruction <br />ElBoring Installation OBoring Destruction <br />METHOD USED <br />ElPressure Grout 112<er Drill <br />Ll Gravity <br />00ther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />cement 941b <br />Bags <br />Thtckest Thinnest 11 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 a <br />BentoniteiCement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Eientonife per 94 lb 2.82 4.7 <br />10/16/2 017 <br />1868 E. Hazelton Avenue Stockton, California 95205i T 209 468-3420 I F 209 464-0138 I www.sicehd.com