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casing <br />height <br />ABOVE-GROUND <br />COMPLETION <br /> <br />Ground Surface <br />z SANAOAQUIN <br />COUNTY <br />Environmental Health Department <br />Greatness grows here <br />Monitoring Well/Soil Boring Inspection Report <br />OW 104- 4. <br />wp# oo ( ‘. Well#: <br />Soil Boring#: AL, <br />Drilling Company: SCO-cie Dr . It; it <br />Driller Onsite: <br />II is' K01; 14-ett <br />Facility Address: I 6-4 0 <br />Well Address: <br />Date: /.2-fer'Z'S Inspector: CONSTRUCTION <br />Total Depth: <br />Consultant: <br />Geologist: <br />Screen Length <br />Filter Pack <br />From: <br />From: <br />From: <br />From: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: CI Yes 0No <br />To: <br />To: <br />To: <br />To: <br />Bentonite <br />Grout <br />COMPLETION Public Water System Onsite: EYes 111No <br />Domestic Well Onsite: <br /> <br />El Yes IIINo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Covered: <br />If yes, material: <br />GROUTING or DESTRUCTION Total DeR91:i 0-0 <br />Depth to Water: (k - 3,2 , <br />Grout Material: /I/.O -C411,4L-1- <br />Gallons of Grout Used: 1_1 0 <br />0Well Installation <br />Boring Installation <br />METHOD USED <br />CIPressure Grout DOver Drill <br />0 Gravity remie 00ther: <br />Water <br />gallons <br />Cemerty/ <br />Bags <br />Water <br />gallons <br />Cement 94Ib <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 ao 4 <br />12.5 25 s 25 SO 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />Verified Chain of Custody: 111 Yes El No <br />SPOILS <br />Contamination Noted: El Yes IIINo <br />If yes, spoils storage Location: <br />El Well Destruction <br />Boring Destruction <br />CI Stove Pipe DChristie Box <br />ft. <br />slotted <br />secton <br />ft. <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 />Yes 0No eigIDO S <br /> Sq S <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 />Oy <br />(\' 7.0P botp- <br />1868 E. Hazelton Avenue I tockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com <br />10/16/2017