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Ground Surface <br />Li Stove Pipe D Christie Box COMPLETION <br />.- <br />JUEIOVE-GROUND <br />COkiPLETION <br />casing <br />height <br /> <br />CHRISTY-SOX <br />COMPtET1ON <br />- <br />(°<':- SAN JOAQUIN <br />COUNTY <br />\"4152elf-c.Itsr,r? Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil <br />DateL:.179-1AS Inspector: t v i 0. 4-. , <br />Facility Address: .7a. , A ' <br />Well Address: Li trim% A . <br />WP# (2 091X 1-(2 Well#: —OR 5 <br />Soil Boring#: <br />Drilling Company: el C AA ' ' <br />Driller Onsite: eh; J„ , <br />Consultant: E., ;v; l Hveke-0 lick, <br />Geologist: \704=1 it (D.r - <br />Boring Inspection Report <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: El Yes ON° <br />To: <br />To: <br />To: <br />To: <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout <br /> <br />From: <br />Public Water System Onsite: 0 Yes ENo <br />Domestic Well Onsite: LI Yes lilNo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes ONo <br />SPOILS <br />Contamination Noted: LI Yes 111No <br />If yes, spoils storage Location: <br />Covered: lil Yes 0 No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: -C--‘ <br />Depth to Water: <br />Grout Material: eeket ce41-44+ <br />Gallons of Grout Used: 4- (so bet, s <br />LIWell Installation ell Destruction <br />Boring Installation 0 Boring Destruction <br />METHOD USED <br />Pressure Grout*ver Drill <br />LI Gravity 1A-Tre'rt 2' ElOther: <br />Water <br />gallons <br />Ceme 471b <br />Bag <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 1 <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 35 735 70 7 <br />20 40 8 __ 40 80 8 <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 T 209 468-3420 I F 209 464-0138 I www.sicehd.com