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Christie Box D Stove Pipe COMPLETION <br />1". \Jiffs' <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />di-rmiLm 9=4J-64- <br />S-0-044 u....)a.b2N. <br />Drilling Rig Type: pv-11" <br />Min 2" Annular EHD Seal Verified: lines El No <br />Screen Length From: <br />Filter Pack From: 1.0 To: 9 <br />Bentonite From: To: 67' <br />Grout From: 531 To: <br />casing IT height <br />cHRLsri-pox <br />COMPLETION <br />AVE-GROUND <br />COMPLETFONI <br />Total Depth: 10 <br />CONSTRUCTION S6 (2y, So /I; 56 a <br />4-epop. valor pn.12 <br />P1b 6e,-/ od- 9 <br />Grocind Surface <br />slotted <br />sect:on <br />Jr <br />S65-- it to) latiow <br />ope_94v,e <br />ffit: (if' <br />tiat <br />-rp *actlk- <br />flo-esig, <br />t/20174-.<0. <br />I Ulu) <br />grout <br />IL <br />MATERIALS/DEVELOPMENT <br />Casing Type: Kele +A <br />Blank Feet Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <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 />56 1- TO 3 i'- <br />c.tt 37' vu) <br />• <br /> <br />1,6 41', (:_eAtiA0A,L4 <br />cif-ifituf <br />10/16/2017 <br />• <br />SAUOAQUIN (Itt:th U N TY-- Environment iealth Department <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: —I 0-200 Inspector: L-1-14,61-taell <br />Facility Address: /24/4-C4 PIX44-1 n <br />Well Address: <br />Wp# 1,0 10 oosl (-7-7 Well#: <br />Soil Boring#: -,-5(2(3) <br />/1.0211 <br /> /2--',$f&1 <br />,Ceria <br />56 <br />Drilling Company: 61 <br />Driller Onsite: <br />Consultant: -11.)(7-5-.0 <br />Geologist: V.-0§% <br />Peit EN6a, 0-3 t - t - otti/047 <br />MN° Public Water System Onsite: Yes <br />PeAVa< Si CowpczeieJ N <br />Domestic Well nsite: 0 Yes IXlNo taA5ZiAalipiai Stge : <br />—•7-0 —exe,t(*)In. <br /> <br />c44-1'. —I <br />Screening Method: <br />Verified Chain of Custody: 1E1 Yes EN° <br />SPOILS <br />Contamination Noted: ElYes ElNo <br />If yes, spoils storage Location: <br />Covered: El Yes EINo <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: <br />0Well Installation OWell Destruction <br />DBoring Installation ID Boring Destruction <br />METHOD USED <br />0Pressure Grout 00ver Drill <br />CI Gravity 0Tremie 00ther: <br />Water <br />gallons <br />C,em ent 47 lb <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest # 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 a <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 />SAMPLING <br />Holding Holding Temperature: <br />Method: <br />S6-11 <br />s&5(7 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com