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SANI,JOAQUIN <br />COUNTY— , -: <br />Greotness prc.w.s here. <br />Environmer ' Health Department <br />111 Yes 0No Public Water System Onsite: <br />El Yes 0No Domestic Well Onsite: <br />If yes, location and distance: <br />Yes 0No Covered: <br />If yes, material: <br />sir c s' <br />GROUTING or DESTRUCTION Total Depth: 4iti <br />Depth to Water: <br />Grout Material: d.4.A.- <br />Gallons of Grout Used: / <br />0Well Installation LI Well. Destruction <br />0Boring Installation VKring Destruction <br />METHOD USED <br />Feet <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet <br />Screen <br />Slot Size: <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />Screening Method: <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: El Yes 0No <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />COMPLETION El Stove Pipe OChristie Box <br />casing <br />height <br />ABOVE-GROUND <br />COmpLEnoN CI-MISTY-BOX • <br />COMPLETIDN <br />ft. <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Date: <br />Facility <br />Well Address: <br />WP# 4/P <br />Soil Boring#: <br />Monitoring Well/Soil Boring Inspection Report <br />7 Inspector: ICTX CONSTRUCTION <br />Jo Ake <br />Well#: <br />S -91-/ /. Oeift <br />(—cyr. <br />f73.1,ki <br />SAMPLING <br />Holding Temperature: <br />Method: <br />0 Yes 0 No <br />fl Yes 0No <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest 4 Bags Thickest Thinnest # Bags <br />2.5 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 />12.5 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 />7er (f - y`'Qi ;4.4,\ <br />1868 E. Hazeltun Avenue f Stocidon, Aliforn% 952051 T 209 468-3420 I F 209 464-0138 www.sicehd.com <br />10/16/2017 <br />0 Gravity <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />0Pressure Grout El ver Drill <br />Tremie 00ther: <br />Bentonite/Cement Mix 3% Mix <br />Bentonite per 47 lb <br />Bentonite per 94 lb <br />1.41 2.47 <br />2.82 4.7 <br />5% Mix