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. '' �& � |�W�N�� <br /> ��|���0��QYY� <br /> Environmental ������ �� ent <br /> -' ---c�(JuNTY--- ' ' '-' ---n----- <br /> G, umoo qm*' ho,c <br /> Mon'tOr'Dg \& e|USO'| Boring Inspection Report <br /> Facility Address: <br /> Well Address: '' ` - Total Depth:_______ <br /> VV Drilling Rig Type: <br /> -oil— --r'n`'' Min Z"Annular EHDSeal Verified: [] Yes []No <br /> DrillingCompany: Y-YA-k/l r) Screen Length From: To: <br /> Driller Onsite: `------ <br /> Consultant: Filter Frnm:-------- To:— <br /> Geologist: <br /> - <br /> Geo|ogist: Benton�e From: To: <br /> Grout -------�-'----------- <br /> - <br /> From: To� <br /> �---__-- �-_--___-_ <br /> Public Water System Onsite� [] Yes []Nu <br /> � COMPLETION, [] Stovepipe []Christie8ox <br /> Domestic Well Onsite: [] Yes []No casing <br /> If yes, location and distance: ueIgut <br /> SAMPLING AWVEAGROUND <br /> Ho|dingTemperatune� ���r��/""m <br /> op�rum"a=� <br /> COWLETiON <br /> Method: <br /> Scrennin0yWethod: . grout <br /> Verified Chain ofCustody: [] Yes []No <br /> SPOILS | <br /> � <br /> Contamination Noted: [] Yes []No ° <br /> |fyes,spoils storage Location: <br /> Covered: El Yes []No -- . padc <br /> |fyes, material: <br /> TotalGROUTING or DESTRUCTION h:-'[�}--_ � <br /> Depth toWater: <br /> Grout Material: <br /> Gallons ofGrout Used: <br /> Casing Type: <br /> []VVe|| Installation L]VVeU Destruction Blank Feet ScneenFeet <br /> Slot Size: <br /> []Bohng|n�aUabonLJ8ohngDesrucdon <br /> ' Bags of Cement: <br /> METHOD USED Bu0s5and/6exe|: <br /> Type/BrandofBentun�e� <br /> []PressureGrout []OverDri|| <br /> Filter Pack Type/3ize: <br /> 'N-,Gravity []Tremie []Other: Type ofMethod: <br /> Water Cement 47 lb Water Cement 94 1b <br /> gallons gallons Bags <br /> Thickest Thinnest 41 Bags Thirkest Thinnest 9 Bags Benton ite/Cement Mi 3% Mix 15% mix <br /> 9 Bentonite per 94 lb 2.821 4.7' <br /> 10 20 4 20 40 4 is 30 6 30 Go 6 ~ <br /> 1O/16/2O17 <br /> 18G8E. Hazelton Avenue I Stockton, California 052051 T 2004O8-34201 F 20Q484'0138 1 <br />