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Covered: <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: '(0 0 013,' • <br />Depth to Water: <br />Grout Material: <br />Gallons of Grout Used: <br />OWell Installation 0 <br />El Boring Installation oring Destruction <br />METHOD USED <br />Ell Pressure Grout 1110ver Drill <br />0 Yes 0No <br />c-1 z I <br />.t^i2n <br />_‘0 <br />ell 'Destruction <br />Total Depth: <br />Drilling Rig Type: <br />COMPLETION CI Stove Pipe 0Christie Box <br /> <br />casing <br />height <br />ABOVE-GROUND <br />COMPLETION <br /> <br />CHRISTY-BOX <br />COMPLETION <br />Gnxind Surfacs <br /> <br />t <br /> <br />slotuad <br />ucton <br /> <br />ft <br /> <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 />Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />0 Yes 1=1No <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />f201- <br />\, <br />woro <br />SAN JOAQUIN <br />COUNTY <br />Greotness grows here <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />ector:' 01/4-V (101/4-r) CONSTRUCTION Date: \ 00\ 21 Ins <br />Facility Address: n <br />Well AddresA <br />WP# OCI LVA <br />Soil Boring#: C <br />Drilling Company: V\ L M\ii 11..).9 <br />Driller Onsite: (AU- <br />Consultant: vja, \co, - VA) k4 rraSOC6A-6 <br />Geologist: Kt.)VQ <br />Public Water System Onsite: El Yes 0No <br />Domestic Well Onsite: CI Yes ON° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: El Yes LI No <br />SPOILS <br />Contamination Noted: CI Yes 0N0 <br />If yes, spoils storage Location: <br />C1 Gravity KTremie 00ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />) Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinn st #Bags ' Thickest Thinnest a Bags <br />2.5 5 L 5 10 1 <br />5 10- 2 4/ 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 413 4 <br />12.5 25 5 25 50 s <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />INV • <br />91 Well#: <br />,t cAAry, <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