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SAN Cu IM, <br /> C L T Y------ <br /> Mhonitioring We-111"Soil Boring inc-pection Repoir"t- <br /> Date: it Inspector: C'4P C Q N S T R U C T 10 r <br /> Facility Address: JJO' T S• r4cV11AM A% <br /> Well Address: Total Depth: <br /> W P7-1 OQM WL- Well Drilling Rig Type: <br /> soil Boring}: 3 Min 2" Annular END Seal Verified: El Yes '111\jo <br /> Drilling Company: OvW*0 I F-dm:Driller Onsite: VXXM L100*0 Screen Length -dm� <br /> Consultant: Filter Pack Front: To: <br /> Geologist: Bentonite 1-1-0111: To: <br /> Grout From: To: <br /> Public Water Sys'L-ern Onsite: 10 Yes E]No CON1PLETION El Stove Pipe ElChris'Lie Box <br /> Donnestic Wel I Onsite: Ol Yes E]No <br /> I. Yes, location and distance: t• t <br /> SAM PLI 1\1 6 <br /> Hiolding Terriperat"Ure: <br /> Methock— <br /> Scrrenin g Mlethod: <br /> fill <br /> M, <br /> Verified Chain 01 CLISTOOY: 1:1 Yes E]No 1:1 . ' <br /> 'Poll S <br /> Contannination Noted: El Yes ONo <br /> IYes; s oo i Is sto a ge ocation: <br /> c <br /> Covered: ❑Ej Yes ❑El.,'\!o <br /> ves, rnateriai: <br /> GROUTINIGi or DESTRUCT ION Total Depth: <br /> Depth to VVater: <br /> GI-OU'L Material: *'I, J-%fjA,7Fr,.fALS,/DE_V FE L C3 P FvP,E N1 T <br /> Gallons o If Grout Used: T Q%- — <br /> Well Inst2liation DUO Dest-ruction Casing Type: <br /> --I <br /> L B I ar.,k Feet Screen Feet <br /> OBoring Installation �6'Boring DeSiLruction Sluff SiZe: <br /> Bags of Cement: <br /> MET HOD USED Bacs Sand/Gravel: <br /> Type;Brand of Bentonite: <br /> P <br /> L ressure &'Put ElOver Drill <br /> Filmer Pacle Typei"Si7e: <br /> ❑ Graviiv 0-Tremle 0 Ot-h e r: Type of Mleffiod: <br /> Cement lb C-Drnent 94113 <br /> r <br /> sags <br /> eo'n t-c—'FLI i`e ice Fil e nht kfix <br /> Mid'ESC Th;nn� <br /> 5I I m IBP-1'I"L)i jn i o e r A,7 IID 1.4k 1 1 2.471 <br /> 5 jo iHl <br /> ----= 1-5 I 3 I 15 I 20 1 3 I( ibs fDc-,, Ib I 2.821 4.7 <br /> A 0 <br /> �5 5 so 5 <br /> b I 30 -so l 6 <br /> 35 7 70 <br /> -.10 0 <br /> i 6;"2 I'11 <br /> !86th E. Hazel an Avenue Stockton,Calilow 9520,5 1 T 209 4,68-3420 j F 2Fj 4,64-0138 1 www.sjcehd.ccm <br />