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ABOVE-GROUND <br />COMP LEDO N <br />Environmental Health Department <br />u. <br />SANAOAQUIN <br />--C OU N TV-- <br />Greatness grows here <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 11 \ \ 20 Inspector: Sali t"-CvS <br />Facility Address: Z.:1 14 v5 Aci -tocAcio <br />Well Address: <br />WP# P Qpk-k Li(,C) Well#: <br />Soil Boring#: •912, <br />Drilling Company: .1)\.)Qc.)\-- ex.r toya.vea, <br />Driller Onsite: <br />Consultant: LlyZeir- coo-4,V loYa k--1 <br />Geologist: ROMA 5 v,a lo Jett - <br />CONSTRUCTION <br />, <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: 0 Yes ON° <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />Public Water System Onsite: CI Yes D No COMPLETION 0 Stove Pipe 0 Christie Box <br /> <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: 0 Yes ON° <br />SPOILS <br />Contamination Noted: 0 Yes ENo <br />If yes, spoils storage Location: <br />Covered: 0 Yes El No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: ZO 14- <br />Depth to Water: (N CO-e tr- <br />Grout Material:Qv g 1/v1-- <br />Gallons of Grout Used: cykl <br />0 Well Installation 0 Well Destruction <br />El Boring Installation V43oring Destruction <br />METHOD USED <br />D Pressure Grout DOver Drill <br />ca-Gravity LilTremie DOther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest 8 Bags <br />2.5 5 11-'' 5 10 1 <br />5 10 2 I, 10 20 2 <br />7.5 15 3 4..---- 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 ao 80 8 <br />casing <br />height <br />CHRISTY-BOX <br />COMPLETION <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 />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 F 209 464-0138 I www.sicehd.com