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it <br /> Sent By : Ramage Environmental ; pw� 916 354 1766 ; Feb - 9 - 0*mbmb 1 : 17PM ; Page 5 / 6 <br /> awn•....,, .i.,,,.. .:.. , ..,.. , - <br /> . .. x <br /> DOUL S ENVIRONMENTAL4 ENVIRONMENTALINC. SAMPLING INFORMATION SHEET <br /> Client : Ramage Environmental Sampling Date: _ t� <br /> Site: SJC Garage Project No . ; <br /> 130 North Hunter street Well Designation: r <br /> Stockton j <br /> i <br /> Is setup of traffic control devices required? YES . time: . hours <br /> le there standing water in the well box? Above TOC Below TOI,C <br /> IS top of casing out level? NO If no, see retnarks <br /> Is well cap sealed and locked? / NO rLESy If no, sec remarks <br /> ITeight of well casing riser (in inches) : <br /> Well cover type: 8" of 12" W 12" EMCO 8" or 12" B1C 8" Christy__„__ <br /> 12" Cluisty &D= 12" M&D 12" DWp <br /> 12" CNI 36" CNI 12" PomccO Other; <br /> General condition of wellhead assembly; Excellent Odod Poor <br /> Purging Equipment: 2" disposable bailer Submersible urnp <br /> 2" PVC bailer _Dedicated bailer <br /> i 4" PVC bailer _ 1C Centrifugal p mp <br /> Sampled with: Disposable bailer ,_ Teflon bailer Disposable Tubing <br /> Well Diameter: 2" � 4" 6" 8" _ <br /> Purge Vol. Multiplier: 0, 16 O. GS 1 .47 . 6 gaU11 <br /> ft, <br /> Initial Measurement Recharue Measuremen <br /> Time : , / • 3i Time: 3-.°� Calculated purge: <br /> Depth of well : Depth to water; 2 Actual purge; e <br /> Depth to water. <br /> Start purge: // 3 �1 .. Sampling tirne: l ' <br /> Time Temperature E.C. pH Turbidity V lume <br /> srl / 5 P --L.,- - <br /> I <br /> 72 <br /> i <br /> Sample appearance : Lock: 0�✓t'� <br /> Equipment replaced: (check all that apply) Note condition of replaced itcrn(s <br /> 2" Locking Cap ; Lock; 7/32 Allenhead� . <br /> 4" Locking Cap : Lock-Dolphin : S*l6 Boll : — <br /> 6" Locking Cap : _ Pinned Allenhead (DWP) : <br /> i Remarks <br /> �: Signature : <br />