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LII <br />El Yes yiNo <br />Yes VI\lo <br />If yes, location and distance: <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />_ft <br />Monad <br />sacton <br />ft <br />CI Stove Pipe <br /> LI Christie Box <br />casing <br />height <br />cHRLEay-pox <br />COMPLETION <br />SAN,sJOAQUIN <br />COUNTY <br /> Environmental Health Department <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: t V1 )A1—\ Inspecto r <br />Facility Address:Wp\ <br />Well Address:k2q./..‘,A)C.), <br />WP# '4164, Well#: <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br />Consultant:VklAX...-tIA,‘,/cc_ <br />Geologist: <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes ON° <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes 0No <br />SPOILS <br />Contamination Noted: ID Yes ENo <br />If yes, spoils storage Location: <br />Covered: 0 Yes EN° <br />If yes, material: <br />1-7 , 1.0 ' <br />( t_LN.r.r4:—.0 Ic.' <br />Used:.."';—.— L <br /> <br />(iLes Casing Type: <br />11 Well Installation lilWell Destruction _DBlank Feet Screen Feet <br />Slot Size: <br />GROUTING or DESTRUCTION Total Depth:`\°'• .5 <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout <br />MATERIALS/DEVELOPMENT <br />ft <br />ft <br />III Boring Installation Boring Destruction <br />METHOD USED <br />E Pressure Grout 0Over Drill <br />E Gravity VTremie 00ther: <br />Water <br />gallons <br />Cement 47Ib <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 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 9d it. 40 80 e <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 Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com