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Time <br />Tem e ature <br />SAMPLING INFORMATION SHEET <br />pH <br />' Ramage Environmental <br />Sampling Date: Z <br />3 <br />Site: Stockton Metro Airport <br />Project No.: <br />.. 5000 S. Airport Way <br />rP Y <br />Well Designation: <br />Stockton, CA <br />Is setup of traffic control devices required? <br />YES time: hours <br />Is there standing water in the well box? <br />US Above TOC Below TOC <br />Is top of casing cut level? NO <br />If no, see remarks <br />Is well cap sealed and locked? NO <br />YZE3 If no, see remarks <br />Height of well casing riser (in inches): <br />Well cover type: 8" or 12" UV 12" EMCO <br />8" or 12" BK 8" Christy <br />12" Christy 8" M&D>_ 12" M&D <br />12" DWP <br />12" CNI 36" CNI 12" Pomeco <br />Other: <br />General condition of wellhead assembly: Excellent <br />Good yam.. Fair Poor <br />Purging Equipment: 2" disposable bailer Submersible pump <br />2" PVC bailer <br />Dedicated bailer <br />4" PVC bailer <br />Centrifugal pump <br />Sampled with: Disposable bailer X Teflon bailer Disposable Tubing <br />Well Diameter: 2" _ <br />4" 6" 8" <br />Purge Vol. Multiplier: 0.16 <br />0.65 1.47 2.61 gal/ft. <br />�-« <br />Initial Measurement Recharge <br />Measurement <br />Time: - b Time: <br />L ; Z Calculated purge: <br />R% <br />Depth of well: l 's Depth to water: Actual purge: CD <br />+-w-� Depth to water: - S <br />Start purge: 3 j Sampling time: <br />Time <br />Tem e ature <br />E.C. <br />pH <br />Turbidity <br />Volume <br />3 <br />2 <br />b� <br />Sample appearance: Lock:./" 4 <br />Equipment replaced: (check all that apply) Note condition of replaced item(s) <br />2" Locking Cap: Lock: 7132 Allenhead: <br />4" Locking Cap: Lock -Dolphin, 9116 Bolt: <br />6" Locking Cap: Pinned Allenhead (DWP): <br />1-d <br />Remarks: <br />Signature: <br />.9rce <br />