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u <br /> - SAMPLING INFORMATION SHEET <br /> Rama a Environmental Sampling Date: 0 <br /> Site: Stockton Metro Airport Project No.: <br /> 5000 S. Airport Way <br /> +-t- Well Designation: <br /> Stockton, CA <br /> {• Is setup of traffic control devices required? YES time: hours <br /> AI. Is there standing water in the well box? Y Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> 1� Height of well casing riser(in inches): <br /> Well cover type: 8"or 12"UV 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy8"M&D� 12"M&D 12"DWP <br /> <' 12"CNI 36"CNI 12"Pomeco Other: <br /> General condition of wellhead assembly: Excellent Good_ Fair Poor <br /> i. Purging Equipment: 2" disposable bailer Submersible pump <br /> y 2"PVC bailer Dedicated bailer <br /> 4"PVC bailer " _ Centrifugal pump <br /> Sampled with: Disposable bailer -X_ Teflon bailer Disposable Tubing <br /> # Well Diameter: 2" 4" 6" 8" <br /> Purge Vol. Multiplier: 0.16 0.65 1.47 2.61 a <br /> g lift. <br /> Initial Measurement Recharge Measurement <br /> Time: 9 , �°-`a Time: �/ �_" Calculated purge: <br /> Depth of well: 67T Depth to water: tS Actual purge: , <br /> _ Depth to water: <br /> Start purge:0169;Poo Sampling time: <br /> LTime Temperature E.C. H TurbidityVolume <br /> o� - ---- <br /> �1. <br /> � 1 <br /> 1 <br /> Sample appearance: Lock: '-` A <br /> Equipment replaced: (check all that apply) Note condition of replaced item(s) <br /> ` 2"Locking Cap: Lock: 7/32 Allenhead: <br /> 4"Locking Cap: Lock-Dolphin: 9116 Bolt: <br /> 6"Locking Cap: r. Pinned Allenhead (DWP): <br /> ,,,,Remarks: <br /> Signature: <br />