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El Christie Box COMPLETION LI Stove Pipe <br />ABOVE-GROUND <br />COMPLETION <br /> ft. <br />skatad <br />saclon <br />It. <br />casing <br />height <br />CHRISTY-BOX <br />CCii4PLET1ON <br />Grosind Surfacs <br />grout <br />ft <br />ft. <br />SA1C,JOAQUIN <br />COUNTY <br />Environmental Health Department <br />Greatness groves here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date: t46-4 L Inspector: 31/6.3YC-k-t . CONSTRUCTION <br />Facility Address: 0 1/6 (r/ <br />Well Address: <br />WP# C yz to 3 Well#: <br />Soil Boring#: 1.) 6 <br />Drilling Company: <br />Driller Onsite: (Firt4-y <br />Consultant: <br />Geologist: <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: LI Yes 0No <br />Screen Length From: To: <br />Filter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />Public Water System Onsite: 0 Yes 0N0 <br />Domestic Well Onsite: <br />0 Yes 0 No <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Verified Chain of Custody: 0 Yes 0No <br />SPOILS <br />Contamination Noted: 0 Yes 0No <br />If yes, spoils storage Location: <br />Covered: 0 Yes EINo <br />If yes, material: <br />( <br />GROUTING or DESTRUCTION Total Depth: --/u <br />Depth to Water: fo4--ia eiro-,--Yr(cvRo, <br />Grout Material: (i er.,..t f--k---- <br />Gallons of Grout Used: ZtQ 1,4 <br />Well Installation 0 Well Destruction <br />El Boring Installationing Destruction <br />METHOD USED <br />Pressure Grout LIOver Drill <br />ElTremie 00ther: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest #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 />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 />Screening Method: <br />10/16/2017 <br />1868 E. Hazelton Avenue J Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com