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Date: A/A10 Inspector: <br />Facility Address: i ti. S <br />Well Address: <br />WP# 7 61 '193 Well#: <br />casing <br />height <br />OfiRISTY-BOX <br />COMPLETION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: LI Yes ON° <br />To: <br />To: <br />To: <br />To: <br />LI Stove Pipe OChristie Box <br />Ground Surfacs <br />grout <br />ft <br /> ft <br />ft <br />started <br />sac-ton <br />gravel pack <br />ft ft. <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />From: <br />From: <br />From: <br />From: <br />SANAAQUIN <br />COUNTY-- <br />odIS:eir N.14./FocS/ Greatness grows here <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Soil Boring#: (13 0-'41.44 <br />Drilling Company: Zr <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />Public Water System Onsite: EYes EINo <br />Domestic Well Onsite: LI Yes 111 No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 1=1 Yes EIINo <br />SPOILS <br />Contamination Noted: CI Yes ON° <br />If yes, spoils storage Location: <br />Covered: 111 Yes El No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: /7---1 <br />Depth to Water: 0 <br />Grout Material: <br />Gallons of of Grout Used: ) <br />EiWell Installation El Well Destruction <br />CI Boring Installation1111(o-ring Destruction <br />METHOD USED <br />OPressure Grout 1110ver Drill <br />U4avity ETremie 1110ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags _ <br />Thickest Thinnest # Bags I Thickest Thinnest 4 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 s 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 />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 1 209 468-3420 I F 209 464-0138 I www.sicehd.com