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SAN JOA QUINh- <br /> -)L <br /> N/l,onitcoli'tOg We-1i1Sc.61 Boring iri-speic-tion Report. <br /> Date: Inspector: C410 c 0 r II S—1 R UZ CT E 0 1"J <br /> Facility Address: <br /> Well Address: Total Depth: <br /> WP- oqAAoq-,[, W e I W."': Drilling Rig Type: <br /> T—r <br /> Soil Boringf#; Min 2" Annular END Seal Verified; 11 Yes ONo <br /> Drilling Company: <br /> Driller Onside: K* LjVDjt0'J Screen Length Frdrn: To: <br /> Consultant: _J16k&O -AUCR Filter Pack From: To: <br /> Geologist: Bentonite I-Forn: To: <br /> Grout From: To: <br /> Public Water System Onsite: 11 Yes ONo CQ.-IRA P LETI ON El Stove Pipe ElChristie Box <br /> Dor nestic Wei I Onsite: F-I Yes EINo -77f 777c _,T-.- <br /> 114 ye-q, location and distance: <br /> S M PLI N G <br /> Hiolding Ternperature, <br /> M e-L 1-1 o cl: <br /> Screening Mlethod: <br /> Verified Chain of Custody: 1:1 Yes EINo 1214'�I <br /> SPOILS <br /> Contamination Noted: 11 Yes EI NI o <br /> l'yes,spoils storage Location: <br /> Covered: El Yes Ohio <br /> 4 <br /> Ir-yes, material: <br /> GROUTIP\JIG or DESTRUCTION To-Lai Depth: <br /> Depth to Vkiater: it "J <br /> GrOLOL Material: 10$;nO %MK Al <br /> A� R I A L S'E, V P f PI r-N! <br /> Gallons o!'Grout Used: I W' Casing Type: <br /> Ehivlell Installation IDA/ell Destruction Blank --.r-eet Screen—Feet <br /> OBoring Installation 13�•13oring Destruction Slot Si2e: <br /> Bags Of Cern en <br /> 501E T H Q!D UJ'D B a c s Sand/Gravel: <br /> Type/Brand oft Bentonite: <br /> Dr"ressure Grout F-10ver Drill Filter Pacle Type./Size: <br /> Ot-h 2 r: <br /> El Gravity L Ty ID e of NAII e'L h o d: <br /> cef nen+ ICementCaEnt 941b <br /> ( <br /> " Rz!ons 1-2 cy,n ife i 0 G 1FrEe-i'it I(vi-fox twkx 15'.�, <br /> T.hi.ckczz Th in.,i Est 4 B�3 gs Thh,kas+t T X <br /> i 1 4 22 <br /> —7.5 j i ri c;i i il'10 p P-i-41L 7 1 b .47 . <br /> ic -1 8 21 4.7 <br /> 10 - 10 B e;i o n flt`e p e-r 4 1 b <br /> -'5 m <br /> 2—0 40 <br /> 7?.5 I25 1 5 —25 I 50 <br /> 30 i 6 M I ED I 6 <br /> 5 I 35 I 7 '35 I 70 <br /> 017 <br /> 1868 E. Hazet-on Avenue Stockton:CaVomila 9520,5 i T 209 M8-3420 i F 209 46-4-0.138 www.sicehd.ccm <br />