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Stove Pipe <br />casino <br />height <br />111 Christie Box <br /> Gratind Surface <br />—.—ft. <br />Lbri.2d <br />1147:7d0f3 <br />ft. <br />COMPLETION <br />ABOVE-GROUND <br />COPPLETION <br />411.m. • • • ••• <br />-.4L,Foier <br />—COUNTY— <br />Grea tness grows here. <br />Mon, ing Well/Soil Boring Inspectic.. Report <br />Date: VIA, 111 Inspector: CONSTRUCTION <br />Facility Address: nss- yvvi- _s <br />Well Address: <br />WP# 0 0 3 ell. 4)-r, <br />Soil Boring#: at j A_J t J 8J. A z <br />Drilling Company: rsv-e: <br />Driller Onsite: <br />Consultant: eff,_fr- <br />Geologist: 't)tr--v•Are <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: U Yes ONo <br />To: <br />To: <br />To: <br />To: <br />Public Water System Onsite: . Yes ON° <br />Domestic Well Onsite: Yes ONo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: U Yes ON° <br />SPOILS <br />Contamination Noted: U Yes ONo <br />If yes, spoils storage Location: <br />Covered: EYes ENlo <br />If yes, material: <br />GROUTING or DES! RUCTION Total Depth: <br />Depth to Water: <br />Grout Material: "04- e..AAPP4xft— <br />Gallons of Grout Used:.. <br />DWell Installation OWell Destruction <br />OBoring Installation R<ring Destruction <br />METHOD USED <br />DPressure Grout 00ver Drill <br />Gravity EK---ernie 00ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94Ib <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 />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 />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com