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SANdOAQUIN /.? <br /> COUNTY <br />Greatness grows here <br />Environmental Health Department <br />III Boring Installation 1Z1Boring Destruction <br />METHOD USED <br />0Pressure Grout '4-,Over Drill <br />0 Gravity 0Tremie 1710ther: <br />ABOVE-GROUND <br />COMPLETION <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 5121212A Inspector:5_(41 <br />Facility Address: cep()(S6 k)..) 561.t) +t <br />Well Address: -frau{ , CR • <br />wp# bokk1-Dut6 We11#: <br />Soil Boring#: <br />Drilling Company: VA. uJ Ori 11 <br />Driller Onsite: Trunti_ <br /> <br />tVtck()oak Eivrartn9 <br />'Davi <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: CI Yes 0 N o <br />To: <br />To: <br />To: <br />To: <br />Consultant: <br />Geologist: <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout From: <br />Public Water System Onsite: ID Yes 0 No COMPLETION El Stove Pipe DChristie Box <br /> <br />Domestic Well Onsite: 0 Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: CI Yes EINo <br />SPOILS <br />Contamination Noted: LI Yes Li No <br />If yes, spoils storage Location: <br />Covered: 0 Yes 0 No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: /,---28117._ - 3 <br />Grout Material: Material: cetv•erti- <br />Gallons of Grout Used: -55- y1 /4\ Ucaea <br />0 Well Installation 0 Well Destruction <br />Water <br />gallons <br />(cement Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest # 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 a 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 />casing <br />height <br />sound Surface <br />-ft <br />slotted <br />sacton <br />Jr <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 />tt <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com