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10/16/2017 <br />1868 E. Hazelton Avenue r Stockton, California 95205 I 1 209 468-3420 1 F 209 464-0138 I www.sicehd.com <br />SAN JOAQUIN <br />COUNTY <br />Grectnes-s 9ra:re here. <br />Environmental Health Department <br />Consultant: 1'f.-11V0- CO 4,"k <br />Geologist: 41 1 <br />From: <br />From: <br />From: <br />From: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />EINo COMPLETION CI Stove Pipe CIChristie Box Public Water System Onsite: 0 Yes <br />Boring Destruction lilBoring Installation <br />METHOD USED <br />Date: 5/11 h1 <br />Facility Address: 1515 s fve-5.)40 Av-e )Stocluov , <br />Monitoring Well/Soil <br />Inspector: SIA-S3 47Ck.-1 <br />Well Address. <br />WP#_00 LO (L( Well#: <br />Soil Boring#: VI") ,133,-, 6s <br />Drilling Company: re.-VVA-CO <br />Driller Onsite: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: El Yes <br />To: <br />EINo <br />To: <br />To: <br />To: <br />Domestic Well Onsite: 0 Yes CINo <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: CI Yes El No <br />SPOILS <br />Contamination Noted: 0 Yes ON° <br />If yes, spoils storage Location: <br />El Yes ON° <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: <br />Grout Material: filec----t <br />Gallons of Grout Used: — <br />El Well Installation ElWell Destruction <br />ElPressure Grout El Over Drill <br />Xr6-ravity LITremie ElOther: <br />Water <br />gallons <br />Cement 47 lb <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest 8 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 />casing <br />height <br />CI-fRISTY-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 />15i1 is-14ts' <br />Covered: <br />If yes, material: <br />ABOVE-GROUND <br />COMPLETION <br />Boring Inspection Report <br />CONSTRUCTION