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SAN JOAQUIN I- wit-6 COUNTY <br />\\.cst9,:,,;i7., Greatness grows here <br />Environmental Health Department <br />Yes CI No Verified Chain of Custody: <br />SPOILS <br />0 Yes E No Contamination Noted: <br />If yes, spoils storage Location: <br />Yes 0No Covered: <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 2C k <br />casing <br />height <br />ABOVE-GROUND <br />COMF'LETION CHRISTY-BOX <br />COMPLETION <br />Monitoring Well/Soil Boring Inspection Report <br />Date: Inspector: k r\-0-9)• K <br />Facility A dre s:_ 1:264 SCly1)-- /IA. 3al& r...,..,-.k... <br />Well Address: <br />WP# bo Lt V l'' Well#: \I KW3 <br />Soil Boring#: <br />Drilling Company: <br />L?)+ikC. Driller Onsite: .. '1 fu <br />Consultant: j <br />Geologist:44:/4 V - <br />Public Water System Onsite: 0 Yes 0No <br />Domestic Well Onsite: 0 Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Grout Material: <br />Gallons of Grout Used: <br />1/10-44- eigi/V-e-R.+- <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes 0No <br />To: <br />To: <br />To: <br />To: <br />COMPLETION 0 Stove Pipe EIChristie Box <br />Grourxf Surlace <br />grout <br />ft <br /> ft _rt <br />slotted <br />eircdon <br />ft <br />gravel pack <br />Il It. <br />• <br />Depth to Water: r\)2.)1,-,k <br />Vi 6 MATERIALS/DEVELOPMENT <br />0 Gravity Arremie 00ther: <br />8‹ 4) Blank <br />(—) <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Slot Size: <br />Casing Type: <br />Feet Feet Screen <br />Water <br />gallons <br />Cement71l(2.,/ <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest g Bags Thickest Thinnest g 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 />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 <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />0Well Installation Well Destruction <br />0Boring Installation 0Boring Destruction <br />METHOD USED <br />El Pressure Grout %Over Drill <br />From: <br />From: <br />From: <br />From: