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OV U I H <br /> SAW JOA He- ttir�i E.. <br /> –CL Jr-,ITY------ <br /> `9,VP-.11/Q'oH Sol-ing Reporl" <br /> Date: inspector: CUP c0 NJ ST R u C-10 0 1"vi <br /> ,Facility Address: 11110AWL0 p* <br /> -Well Address: Total Depth: <br /> WP# WIWI- Well.r., Drilling Rig Type: <br /> Soil Boringi#: S Drilling Company: 4V4't<" cuj Min 2"Annular END Sea]Verified: El Yes '01lO Driller Onsite: k(m tlwbcScreen Length From: To: <br /> ",Vj <br /> Consultant: Filter Pack From: To: <br /> Geologist: Bentonite F r 0 M: To: <br /> From:Grout From: To: <br /> Public Water SysernOnsite: El Yes ONo C.01�.'?LETION El Stove Pipe ElChristie Box <br /> Domestic Well Onsite: Ol Yes ONo <br /> 141 yes, local on and distance: <br /> S M P L I N G <br /> Holding Temperature:_ <br /> M et.11 o c: <br /> Screening N/let"Ll-iod: <br /> Verified Chair 014 Custody: 0 Yes ONo <br /> SPO I LIc -CP <br /> Contaminatio-i Noted: El Yes DI No <br /> 11 yes, spoils storage 1 ocation: <br /> Covered: Ell Yes [I!\!a <br /> Fives, I-n FL I-i a 1: <br /> G-ROUTINIG or DFSTRUCTIONI To-Lai Depth: <br /> VS, <br /> Depth to\!Vater: <br /> Grout N/lateriE!: f0m*0 (xr4F-A*"L- <br /> f-A A, L5.1"E,PD)FE 10 P NPI PJ T <br /> Gallons of Grcut Used: I a%, <br /> l-a Sz i n g Type: <br /> Elkhv'ell lnst2dlation Df\/ell Destruction B I an k' Feet Screen Feet <br /> Slot Size: <br /> J Boring Insu ll2tion tgZ-bring Destruction Bags of Cem en <br /> r. <br /> M E T1 H C'D U S--, :--i Bags Sand./Gravel: <br /> ­71"ressure Groul.- 010ver Drill Typc-/Drand ol BenLonite: <br /> Filter Pack Type/Si7-- <br /> Gravitv ❑T re III Ie Dother: Type of N/lethod: <br /> C ern E i I ?Ib <br /> 1�L <br /> F a <br /> lemu lil'4cnx <br /> Th;nn <br /> -1.4 <br /> 2.5 1 5 10 i Peruon'� per 41L7 l[D <br /> .19 I _ I -'0 <br /> 1tae o I ge ,Der.2,4 ILS 2.821 fJ <br /> 2, I is I 40 <br /> 50 i 5 <br /> 30 6 so l 60 I 6 <br /> 7 <br /> 35 <br /> s —1 <br /> o—I <br /> ILI 0 <br /> --I PO 0 <br /> 10!/1 o,'27 <br /> 1868 F.Knei'lor,Avenue Stockton,Galffomla 952N) T 209 468-3420 J F 209 464-0138 ww%1.s!cehd.ccm <br />