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casing <br />height <br />-- <br />ABOVE-GROUND <br />COWLETION <br /> Graind Surfaa <br />Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />COMPLETION El Stove Pipe <br /> <br />From: <br />From: <br />From: <br />From: <br />!" <br /> ,t) 14 11 Li 1 .11 Environmental rieaRTI uepaiTtnent <br />Greatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: lib/ iy Inspector: t--"" YAe. <br />Facility Address: .s-74 ea? <br />Well Address: <br />WP# (.7A 164/ Well#: <br />Soil Boring#: $40.4 •t.1 SeL, <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />Public Water System Onsite: Yes ENo <br />Domestic Well Onsite: 111 Yes 111No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: II Yes ENo <br />SPOILS <br />Contamination Noted: LI Yes ED No <br />If yes, spoils storage Location: <br />Covered: 111 Yes ON° <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth:2.4)1 Pa/ zo,242115, <br />Depth to Water: IS <br />Grout Material: CAA,44"--A <br />Gallons of Grout Used: <br />0Well Installation OWell Destruction <br />0Boring Installation li‘ring Destruction <br />METHOD USED <br />111Pressure Grout EOver Drill <br />1Zravity ETremie E0ther: <br />Water <br />gallons <br />Cement 47 lb <br />Bags <br />Water <br />gallons <br />Cement 94Ib <br />Bags <br />Thickest Thinnest 4 Bags Thickest Thinnest #8ags <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 5 <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 />111 Yes ENo <br />To: <br />To: <br />To: <br />To: <br />0Christie Box <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 />RentoniteiCement 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 I F 209 464-0138 I www.sicehd.com