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SAMPLING INFORMATION SHEET <br />Ramage Environmental <br />Sampling Date: EL z 3 . q!:, Oro, <br />Site. Stockton Metro Ai ort Project No.: <br />5000 S. Airport Way Well Designation: <br />Temperature <br />Stockton, CA <br />pH <br />Turbidity <br />Is setup of traffic control devices required? YES <br />time: hours <br />�— <br />is there standing water in the well box? US <br />00,4 <br />Above TOC Below TOC <br />Is top of casing cut level? <br />If no, see remarks <br />Is well cap sealed and locked? NO <br />If no, see remarks <br />.. �.�_ . <br />Height of well casing riser (in inches): <br />Well cover type: 8" or 12" W 12" EMCO 8" or 12" BK <br />8" Christy <br />12" Christy 8" M&D_�ee^ 12" M&D 12" DWP <br />12" CNI 36" CNI 12" Potneco Other: <br />General condition of wellhead assembly: Excellent Good <br />Fair Poor <br />Purging Equipment: 2" disposable bailer <br />�2" <br />Submersible pump <br />PVC bailer <br />Dedicated bailer ` <br />4" PVC bailer <br />pump <br />Sampled with: Disposable bailer _ Teflon bailer <br />,1�f ^Centrifugal <br />Disposable Tubing <br />Well Diameter: 2" '" 4" <br />6" 8" <br />Purge Vol. Multiplier: 0.16 0.65 <br />1.47 2.61 °.gallft. <br />Initial Measurement Recharge Measur ment <br />C <br />Time: 1 Time:t3"'� <br />Calculated 0 <br />3 �D <br />purge: <br />Depth of well: •/ Depth to water: <br />Actual purge: <br />�..,.. Depth to water: 3 <br />Start purge: -�� Sampling time: •� <br />Time <br />Temperature <br />E.C. <br />pH <br />Turbidity <br />Volume <br />.. �.�_ . <br />Sample appearance: Lock: <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: Pinned Allenhead (DWT): <br />Remarks: <br />Signature: <br />