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w-x SAMPLING INFORMATION SHEET <br /> -Ramage Environmental Sampling Date: r ` <br /> Site: Stockton Metro Airport Project No.: <br /> �. SOOQ S. Airport Way Well Designation: <br /> Stockton, CA <br /> Is setup of traffic control devices required? time: hours <br /> Is there standing water in the well box? NO Above TOC Below TOC <br /> Is top of casing cut level? NO If no,see remarks <br /> ti- Is well cap sealed and locked? NO If no,see remarks <br /> Height of well casing riser(in inches): <br /> Well cover type: 8"or 12"W 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy 8"M&D� 12"M&D 12"DWP <br /> ° 12"CNI 36"CNI 12"Pomeco Other: <br /> General condition of wellhead assembly; Excellent Goody Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2"PVC bailer Dedicated bailer <br /> y` 4"PVC bailer Centrifugal pump <br /> ' Sampled with: Disposable bailer Teflon bailer Disposable Tubing <br /> Well Diameter: 2" c 4" 6" 8" <br /> �* Purge Vol. Multiplier: 0.16 0.65 1.47 2.61 gal/ft. <br /> Initial Measurement Recharge Measurement .� <br /> ' Time:ZO ,- Time: /0 = Calculated purge: <br /> Depth of well: Depth to water: r Actual purge: <br /> �. Depth to water: ��d <br /> Start purge: Sampling time: d: <br /> Time Temperature E.C. PH Turbidity Volume <br /> =o <br /> F Sample appearance: � �! Lock: <br /> E - <br /> Equipment replaced: (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap: Lock: 7/32 Alienhead: <br /> r 4"Locking Cap: Lock-Dolphin': 9/16 Bolt: <br /> 6"Locking Cap: Pinned Allenheadl(DWP): <br /> Remarks: <br /> K <br /> I Signature: <br />