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Contamination Noted: 111 Yes El No <br />If yes, spoils storage Location: <br />Covered: El Yes 1=1No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: A 1,1 <br />Depth to Water: 37. <br />Grout Material: eNe"-Ar <br />Gallons of Grout Used: 1Z.0 ZAc ) / .71 J) <br />Destruction <br />OBoring Installation 111Boring Destruction <br />METHOD USED <br />OPressure Grout 1±1{)ver Drill <br />Li Gravity remie DOther: <br />. DWell Installation <br />gravsl pacX <br />SANJOAQUIN <br />COUNTY <br />Greotness grons here <br />Environmer Health Department <br />CONSTRUCTION <br />Total Depth: <br />Well#: Drilling Rig Type: <br />- <br />El Yes ON° <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />CI Yes EINo <br />COMPLETION <br />Yes ENo <br />Screening Method: <br />Verified Chain of Custody: <br />El Yes EINo <br />SPOILS <br /> _ft. <br />stotrad <br />ucton <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 />SAMPLING <br />Holding Temperature: <br />Method: <br />Monitoring Well/Soil Boring Inspection Report <br />Date: ) )(Ida- Inspector: <br />Facility Address: foi,) 5 8,-. ,r,-4-- <br />Well Address: <br />WP# f S <br />Soil Boring#: <br />Drilling Company: c>e vte.44,t_ <br />Driller Onsite: t--1 r <br />Consultant: ac <br />Geologist: tite."Ac- Cz:felt." <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />t>ini%A.7“--3 Min 2" Annular EHD Seal Verified: f <br />ABOVE-GROUND <br />COMPLETION <br />LII Stove Pipe <br />casing <br />heLght <br />CHRISTY-40X . <br />COMPLETION <br />Grocind Surface ...-+ <br />P • • grout <br />d'W 7ir ft <br />isi si - ft. <br />I I <br />OChristie Box <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest 4 Bags <br />25 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 />115 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 />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 vvww.sicehd.com