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Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: CI Yes El No <br />To: <br />To: <br />To: <br />To: <br />COMPLETION El Stove Pipe CIChristie Box <br /> <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout <br /> From: <br />casing <br />height <br /> <br />COMPLETE9N <br />-ft <br /> <br />slcinad <br />sarion <br /> <br />tt. <br /> <br />SAN.JOAQUIN <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />Mt,itoring Well/Soil Boring Inspection Report <br />Date: Inspector: <br />Facility A dress: *11 `N„._CLVA \13iNs-k <br />Well Address:\I\CZ7,....CIA.k4 v,\VAA,\444,1\NS-A, (a- <br />WP# cvs_L-1/4 \.ctS\ Well : <br />Soil Boring#: Ntr _s <br />Drilling Company: -N <br />Driller Onsite: <br />Consultant: \-k V, E-1•• isr% • <br />Geologist: 1,3 s <br />Public Water System Onsite: 0 Yes 4No <br />Domestic Well Onsite: 0 Yes /No <br />If yes, location and distance: <br />SAMPLING 1,)\ <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes EINo <br />SPOILS <br />Contamination Noted: 0 Yes No <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth:TA! <br />Depth to Water: , "Z L\ <br />Grout Material: N((N1/4,c. C__vc-_,,c_ ‘,....),-": <br />Gallons of Grout Used: \00,_%15. <br />0Well Installation El ,Jell Destruction if <br />El Boring Installation Boring Destruction <br />METHOD USED <br />111Pressure Grout ElOver Drill <br />CI Gravity Tremie 00ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest 8 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 />CONSTRUCTION <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet <br /> 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 />Yes No <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com