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COMPLETION 0 Stove Pipe 111 Christie Box <br />casing <br />height <br />ABOVE-6E401.ND <br />COMPLETION <br /> Graind Surface <br />COMPLETION <br />SANJOAQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 10110 Ilj Inspector: 1..4,v )(40r,ik <br />Facility Address: /-0,z.-7 b et <br />Well Address: <br />WP# 003gel <br />Soil Boring#: 3j at) ?— <br />Drilling Company: C..-S c....4-1<, 0r-1-14 kv-S <br />Driller Onsite: g.,4.441 <br />Consultant: <br />Geologist: ct,.i'e Li‘ine" <br />Public Water System Onsite: 0 Yes 0No <br />Domestic Well Onsite: 0 Yes ONo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: LI Yes 0 No <br />SPOILS <br />Contamination Noted: 0 Yes El No <br />If yes, spoils storage Location: <br />Covered: 0 Yes 1=INo <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: w -Pe <br />Grout Material: A.4 ,4- Ce~vet - <br />Gallons of Grout Used: <br />Depth to Water: lticipft-1 rIcft <br />0Well Installation 0Well Destruction <br />0Boring Installation Illro-ring Destruction <br />METHOD USED <br />0 Pressure Grout 0Over Drill <br />El Gravity remie 00ther: <br />Water <br />gallons <br />Cement 47 1b <br />Bags <br />Water <br />gallons <br />cement 941b <br />Bags <br />Thickest Thinnest 4 Bags Thickest Thinnest # 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 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 />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes ON° <br />To: <br />To: <br />To: <br />To: <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 />Well#: <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout <br />From: <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I 1 209 468-3420 I F 209 464-0138 I www.sioehd.com