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sictted <br />secdon <br />casing <br />height <br />ABOVE-GROUND <br />CO WPLErION <br /> Gros-in:3 Surfaca <br />CHRISr?-80X <br />COMPLETi9N <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: W I!, <br />Facility Address: l•C <br />Well Address: <br />WP# 00 3 UZI Well#: <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />"At. vAci-We <br />Public Water System Onsite: El Yes CINo <br />Domestic Well Onsite: El Yes LINo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: El Yes I=1No <br />SPOILS <br />Contamination Noted: CI Yes ON° <br />If yes, spoils storage Location: <br />Covered: 111 Yes El No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: 10-a <br />Depth to Water: 0 <br />Grout Material: rs•-eA <br />Gallons of Grout Used: 44.. s5 ) 4 .Sh 1 ) J <br />111Well Installation EWell Destruction <br />El Boring Installation ‘ring Destruction <br /> 5.) <br />METHOD USED <br />El Pressure Grout IDOver Drill <br />17<-avity 1=ITremie 1110ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94Ib <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 GO 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: <br />Screen Length From: <br />Filter Pack From: <br />Bentonite From: <br />Grout From: <br />COMPLETION CI Stove Pipe <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 />Inspector: <br />Geologist: <br />Yes ON° <br />To: <br />To: <br />To: <br />To: <br />OChristie Box <br />1868 E. Hazelton Avenue Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com