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COUNTY <br />SANJOAQUIN <br />j <br />,44-1 Greatness grows here. <br />Environmental Health Department <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />El Yes LINo <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />Domestic Well Onsite: Yes ON° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />casing <br />height <br /> <br />ABOVE-GROUND <br />COM0LETION <br /> <br />CH:MTV-BOX <br />COMPLETION <br /> <br />Ground Surfacs <br /> <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 7-e)Z'i Inspector: 1 <br />Facility Address: ,;2_, (4,1. e s <br />Well Addr.es:i . C-kLie--c. <br />WP#0 Oill F q Well#: 1//14"-C2-5 <br />Soil Boring#: stD <br />Drilling Company: <br />Driller <br />— <br />Driller Onsite: WI i ii <br />Consultant: <br />Geologist: <br />-{- <br />Public Water System Onsite: Yes IIINo COMPLETION Li Stove Pipe EIChristie Box <br /> <br />Screening Method: grout <br />Verified Chain of Custody: <br />SPOILS <br />111 Yes IlINo ft <br />—ft <br />Covered: <br />If yes, material: <br />Grout Material: <br />Gallons of Grout Used: <br />EWell Installation <br />El Yes CI No OVer-ci,y4 1 1kt <br />3"cif;.1 <br />5 Yes No bit to id 1*:::" <br />rel ceP -501 <br />so-C-f e)1.?- yokb2 <br />ell Destruction <br />Contamination Noted: <br />If yes, spoils storage Location: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />4t. <br />3f0 9 <br />;most pacit <br />ft. <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />LII Boring Installation LIBoring Destruction <br />METHOD USED <br />ElPressure Grout ?i.Over Drill <br />er4e DOther: <br />Water <br />gallons <br />cemen(47lJ <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 40 8 40 80 8 <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 />El Gravity <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