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casing <br />height <br />a-CR/STY-BOX <br />COMPLETION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 111 Yes ON° <br />To: <br />To: <br />To: <br />To: <br />COMPLETION El Stove Pipe OChristie Box <br />Ground Surfacs <br />_ft. <br />slotted <br />&actor' <br />gravol pack <br />1. ft. ft. <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />SAN,d0AQUIN <br />.wrikur COUNTY----- <br />\(,111,5"/ Greatness grows here <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: I 2-1 34'20 Inspector: <br />Facility Address: '2.-ck 1-i LI u_or)vvkis rza <br />Well Address: <br />WP# 0•3 POO t-k 5 60 <br />Soil Boring#: (3 <br />Drilling Company: viesi-c5t b-xploiratioo <br />Driller Onsite: <br />Consultant: Ce09)t- eA Oat° • <br />Geologist: <br />Public Water System Onsite: 0 Yes 0No <br />Domestic Well Onsite: 0 Yes ON° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: CI Yes El o <br />SPOILS <br />Contamination Noted: 0 Yes Ii1No <br />If yes, spoils storage Location: <br />Covered: <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: P. <br />Depth to Water: 03 <br />Grout Material: ne.oc k-- VIHAA, <br />Gallons of Grout Used: Z. 0 er1 <br />LIWeIl Installation 0 Well Destruction <br />El Boring Installation SBoring Destruction <br />METHOD USED <br />EPressure Grout lilOver Drill <br />E Gravity ElTremie ILIOther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94W <br />Bags <br />Thickest Thinnest 8 Bags Thickest Thinnest # Bags <br />2.5 5-' 1 '-/— 5 10 1 <br />5 10 L," 2 I.' 10 20 2 <br />7.5 15p." 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 1 35 70 7 <br />20 40 8 40 80 8 <br />CONSTRUCTION <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen <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 />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 />Well#: <br />\ SvNekkociell <br />0 Yes lilNo <br />Feet <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