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SAN JUA[�UIN <br />COUNTY <br />Greatness gro;vs here. <br />Date: /O—��2Dz2 <br />Facility Address: <br />Well Address: <br />WP# t�0y.377�{ Well# <br />Soil Boring#: <br />Drilling Company: �fY e Ce <br />Driller Onsite: �'yerw <br />Consultant: c s .� � G <br />Geologist: iLl� Skw /Llt�s1 <br />��v�o�o�rr��r��i��0 C���Cf��DD �����L���� <br />Monitoring Well/Soil Boring Inspection Report <br />Insaector: ���"'` <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method:_ <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />if yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />❑ Yes ❑ No <br />❑ Yes ❑No <br />�. <br />❑Yes ❑No <br />❑Yes ❑No <br />❑ Yes ❑No <br />GROUTING or DESTRUCTION Total Depth: 7�3� <br />Depth to Water: $'� <br />Grout Material: ,/� l.�yri <br />Gallons of Grout Used: `li v��1a�`S <br />�IWell Installation ❑Well Destruction <br />❑Boring Installation ❑Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity ❑Tremie ❑Other: <br />Water <br />allons <br />Cement 471b <br />Bas <br />5°�° N1i� <br />Water <br />allons <br />Cement 941b <br />Bags <br />Thickest <br />Thinnest <br />#Bags <br />4.7 <br />Thickest <br />Thinnest <br />Bags <br />2.5 <br />5 <br />1 <br />S <br />10 <br />1 <br />5 <br />10 <br />2 <br />— <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4 <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60 <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />CONSTRUCTIO <br />Total Depth: _ <br />Drilling Rig Type: — <br />Min 2" Annular EHD Seal Verified: <br />Screen Length From: /S� <br />Filter Pack From: I � <br />Bentonite From: <br />Grout From: $ r <br />COMPLETION ❑Stove Pipe <br />V� Yes ❑ No <br />To: �� <br />To: �3` <br />To: il+ <br />To: yr �� <br />❑Christie Box <br />. � i� � <br />�/; .�. <br />_. -. <br />� \•- <br />«. <br />�- :. <br />�.. <br />�` � .. <br />� �` <br />1 <br />r� <br />ft. <br />3% Mie <br />5°�° N1i� <br />Oentonite per 47 <br />1.41 <br />2.47 <br />E3entonite per g4 Ib <br />2.82 <br />4.7 <br /><� <br />�::� <br />— <br />�� <br />Y� <br />;� <br />— <br />� y� <br />miction <br />= <br />'.N <br />. <br />::w <br />.. <br />— <br />.. <br />.___ <br />:�; <br />— <br />�e��— <br />��22� <br />yt7 <br />� <br />_ <br />ft. <br />MATERIALS/DEVELOPMENT <br />Casing Type: � _ <br />Blank /3� _ _ eet Screen <br />Slot SizE. • O 2 <br />Bags of Cement: <br />Bags Sand/GravE <br />Type/Brand of BE <br />Filter Pack Type/ <br />Type of Method: <br />0 <br />ft. <br />Feet <br />Bentonitel0ement Nlix <br />3% Mie <br />5°�° N1i� <br />Oentonite per 47 <br />1.41 <br />2.47 <br />E3entonite per g4 Ib <br />2.82 <br />4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue � Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com <br />