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casing <br />height <br />CHRISTY-BOX <br />COMPLETION <br />Ground Sudan <br />1,(- cb SANAAQUIN <br />WNW ---COUNTY <br />Greatness grows here <br />Environmental Health Department <br />Date: 1/2///1 Inspector: /4.44SE6 44. <br />r-s- re &we- Ita <br />Monitoring Well/Soil Boring Inspection Report <br />,./5,51 4-videert <br />Facility Address: <br />Well Address: <br />WP# frd <br />Driller Onsite: 7:144t( e V <br />Consultant: Arm-c14 <br />Geologist: Tam - <br />Public Public Water System Onsite: El Yes <br />CONSTRUCTION <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />COMPLETION <br /> <br />El Stove Pipe OChristie Box <br />Soil Boring#: <br />Drilling Company: Caate.4 <br />Total Depth: <br />Well#: '701,^)-5.- Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: El Yes ON° <br />To: <br />To: <br />To: <br />To: <br />Domestic Well Onsite: LI Yes lilNo <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 />GROUTING or DESTRUCTION Total Depth: 4/9 ' <br />If yes, material: <br />II I <br />ft <br />SPOILS <br />Contamination Noted: 0 Yes EINo / <br />If yes, spoils storage Location: ASKI,111117t <br />.019eileffEit••5-- <br />seclgiGtt*don <br />Covered: LI Yes lilNo i 414 i 5 4'9 , <br />Depth to Water: <br />Grout Material: AX-444-ceie.e.s, <br />Gallons of Grout Used: <br />grout <br />4-- ft. <br /> ft. <br />gravel pack <br />It. <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Itou- <br />d 42-€4' <br />ElWell Installation N,Well Destruction <br />El Boring Installation 111Boring Destruction <br />METHOD USED <br />IYPressure Grout lilOver Drill <br />IE Gravity RiTremie <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest flags 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 />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 />3ri,„„. .12,v <br />P 4 a a 00 4 Om <br />r71 t3 3<=e-5 / 076 <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.sicehd.conn