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0 Gravity 6--rennie 00ther: <br />lilChristie Box COMPLETION 0 Stove Pipe <br />casing <br />height <br />ABOVE-GROUND <br />°MAPLE-mu coifusri-pox <br />COMPLE119N <br />ft <br />ft <br />ft. <br />_ft <br />sWttad <br />tux:don <br />ft <br />,• SANdOAQUIN <br />0 COUNTY <br />Greatness grows here. <br />Date: <br />Facility Address: <br />Well Address. <br />WP# 0 ci fJ() C -4 Well#: <br />Soil Boring#: WA - cif -1 <br />Drilling Company: <br />Consultant: <br />4e01;‘,..p\ Driller Onsite: <br />Geologist: <br />Public Water System Onsite: 0 Yes 0No <br />Domestic Well Onsite: El Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes 0No <br />SPOILS <br />Contamination Noted: 0 Yes 0No <br />If yes, spoils storage Location: <br />Covered: 0 Yes 0No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: ou <br />Depth to Water: 6 7 <br />Grout Material: 77 Ct <br />Gallons of Grout Used: , <br />DWell Installation III Well Destruction <br />0Boring Installation:K-6;ring Destruction <br />METHOD USED <br />ElPressure Grout El Over Drill <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94W <br />Bags <br />Thickest <br />2,5 <br />Thinnest /*Bags Thickest <br />5 <br />Thinnest <br />10 <br />*/ Bags <br />1 5 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 />Environmental Health Department <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 />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <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 />Monitoring Well/Soil Boring Inspection Report <br />Inspector: SL`3 3}1661 CONSTRUCTION <br />h C Cie) AV e Siock-temi <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