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casing <br />height <br />CKFUSTY-BOX <br />COMPLETION <br />SAN JOAQUIN <br />COUNTY <br />Greatness grows here <br />Environmet 1 Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: \ /Litz /18 Inspector: 1--the-- )6, r"".3 <br />Facility Address: FrOL,0 S /a-v-rfrods- \-001 <br />Well Address: <br />WP# Well#: gO <br />Soil Boring#: <br />Drilling Company: i'••644.e...coyle., <br />Driller Onsite: <br />Consultant: F--60.1. <br />Geologist: vv\-ei-e•iy e-t411,to.. <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: CI Yes 0No <br />Screen Length From: To: <br />Filter Pack <br /> <br />From: To: <br />Bentonite From: To: <br />Grout <br />From: To: <br />Public Water System Onsite: 0 Yes 0No COMPLETION CI Stove Pipe CI Christie Box <br /> <br />Domestic Well Onsite: 0 Yes 0No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: El Yes 0No <br />SPOILS <br />Contamination Noted: 111 Yes 0No <br />If yes, spoils storage Location: <br />Covered: 0 Yes ILINo <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: letr i wet , 2.142t, <br />Depth to Water: 3 2--fer <br />Grout Material: vte,-k-- c.e."...enevf" <br />Gallons of Grout Used: ‘.t.o ((to et. <br />0Well Installation Destruction <br />CI Boring Installation CI Boring Destruction <br />METHOD USED <br />0Pressure Grout It(*)ver Drill <br />0 Gravity <br /> EI-1<-emie 1110ther: <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 />Water <br />gallons <br />cement 47lb <br />Bags <br />Water <br />gaHons <br />cement 941b <br />Bags <br />Thickest Thinnest #Bags Thickest Thinnest 1413ags <br />2.5 5 1 5 10 I <br />s 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 s 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <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