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SANAAQUIN <br />----COUNTY <br /> Environmental Health Department <br />Gieutness 9rows herc <br />Monitoring Well/Soil Boring Inspection Report <br />Geologist: <br />Driller Onsite: <br />Consultant: v\ <br />V co/vit. <br />El Stove Pipe COMPLETION IlIChristie Box Public Water System Onsite: 0 Yes IllNo <br />Depth to Water: <br />Grout Material: <br />Covered: 0 Yes 0No <br />If yes, material: <br />GROUTING or DESTRUCT ION Total Depth: 1 NH--; <br />tqf-- <br />Gallons of Grout Used: / <br />0 Boring Installation oring Destruction <br />METHOD USED <br />LI Well Installation <br /> LI Well Des ruction <br />0 Gravity Tremie DOther: <br />Date: 2-4 -1k. Inspector: ( <br />Facility Address: -3-00 Di Arri gal <br />Well Address: <br />WP# 0 0 ut -1-1 bS" Well#: <br />g 1-‘1" Soil Borin#:1—C <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: Ill Yes ON° <br />To: <br />To: <br />To: <br />To: <br />Drilling Company: C-1 <br />Domestic Well Onsite: Ill Yes ENo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 0 Yes 0 No <br />SPOILS <br />Contamination Noted: 0 Yes ON° <br />If yes, spoils storage Location: <br />OPressure Grout ElOver Drill <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest 4 Bags Thickest Thinnest fl ags <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 />casing <br />height <br />CHRISTY-BOX <br />COMPLEnION <br />tt <br />Monad <br />ft. <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 />ABOVE-GROUND <br />COMPLETION <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 />From: <br />From: <br />From: <br />From: