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COMPLETION El Stove Pipe EIChristie Box <br /> <br />casing IT height <br />ABOVE-GROUND <br />COIVPLETION CHRISTY--BOX <br />COMPLEI1ON <br /> Grocind Strface <br />grout <br />:41r ft. <br /> ff. ft. <br />sSonacl <br />soclion <br />ft. it. <br />grays] pack <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 />SANJOAQUIN <br />COUNTY 1 ,.. Greatn ess grows here. <br />Environmen. Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Inspector: ,i3riocialAraylfe. CONSTRUCTION <br />Facilityddr,ess: <br />Well Address: <br />wp# 003 c,ci Well#: <br />Soil Boring#: A4 52, B6, B-7, Bic, Es <br />Drilling Company: <br />Driller Onsite: -Deo <br />Consultant: Pac4 vu.,c <br />Geologist: Na4-f... <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: El Yes El No <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />Public Water System Onsite: CI Yes ONo <br />Domestic Well Onsite: CI Yes DNo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: El Yes ONo <br />SPOILS <br />Contamination Noted: El Yes ONo <br />If yes, spoils storage Location: <br />Covered: DYes ON° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth:', 0, 7 , <br />Depth to Water: V)OVU2— <br />Grout Material: \Aka+ CE,yytgA4+ <br />Gallons of Grout Used: I ,c, 1,5, I ,5,1,1,1) , 3,1,5 <br />OWell Installation DWell,Destruction <br />ID Boring InstallationABoring Destruction <br />METHOD USED <br />111Pressure Grout ClOver Drill <br />0 Gravity 0Tremie l)31.Other: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94W <br />Bags <br />Thickest Thinnest #Bags Thickest Thinnest # Bags <br />2.5 5 1 5 10 1 <br />s 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 />Bentonitefeement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />3 901 bc <br />1868 E. Hazelton Avenue Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com <br />10/16/2017