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COUNTY - <br />( SANJOAQUIN 1,1Tiao, <br />aisi.ar- i <br />Greatness grows here. <br />Environmental Health Department <br />casing <br />height <br />ABOVE-GROUND <br />COMPLETION CliFIISTY-BOX <br />COMPLETION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: CI Yes ElNo <br />To: <br />To: <br />To: <br />To: <br />COMPLETION 111 Stove Pipe CI Christie Box <br />Ground &ex-ft <br />grout <br />ft <br />ft <br />ft <br />stottad <br />sacdon <br />gravel pack <br />ft. <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />Monitoring Well/Soil Boring Inspection Report <br />Date: $i^/6--- 2-e Inspector: 4416"cer' <br />Facility Address: 23) t4.) • Oak Wiceel" <br />Well Address: <br />WP# COI/ /67' Well#: 511 <br />Soil Boring#: <br />Drilling Company:/D, 70%/- a4 <br />Driller Onsite: 4).7.41 <br />Consultant: ( 'v.*/ Wyette0 77edt <br />Geologist: v,,c1dek- cael-ot* <br />Public Water System Onsite: LI Yes ON° <br />Domestic Well Onsite: 111 Yes EINo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: CI Yes ON° <br />SPOILS <br />Contamination Noted: 111 Yes EN° <br />If yes, spoils storage Location: <br />Covered: 111 Yes IllNo <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 2:5 <br />Depth to Water: NO etzmlowier <br />Grout Material: kii.f,/--cemeirt <br />Gallons of Grout Used: <br />LI Well Installation iell Destruction <br />Eli Boring Installation CI Boring Destruction <br />METHOD USED <br />Pressure Grout DOver Drill <br />31Gravity LITremie ElOther: <br />hid4(.5h, <br />,,fr• : ',Cement 47Ib Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thi 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 />CONSTRUCTION <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 pi -p.m <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com