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Sent By : Ramage Environmental 916 354 1786 ; Feb - 9 - 01 : 17PM ; _ Page fi / 6 <br /> ro <br /> DOULOS ENVIRON NTAL, INC, SAMPLIN INFORMATION SHEET <br /> Client: Rama a Environmental Sampling Date: ' <br /> Site: SIC Garage _ ProjeotNo . : <br /> 130 North Hunter street Well Designation: <br /> Stockton <br /> Is scrip of VaWlt control devices required? YBS time: hours <br /> Is dwre standing water in the well box? Above TOC Below T <br /> Is lop of casing cut Icvcl? S If no, see remarks <br /> Is well cap sealed and looked? NQ If no, sec remarks <br /> lielght of well easing riser (in inches) ; <br /> Well cover type: 8" or 12" W 12" BMCO� 8" or 12" Blc8" Christy <br /> 12" Christy 8" M&D_� 12" M&D____,_ 12" AWP _ <br /> 12^ C4I 36" cm 12" Pomeco ,Other: <br /> Oeneral condition of wellhead assembly: Excellent ;Good _ Fair Poor <br /> Purging Equipment: 2" disposable bailer _ Submersib e pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailerTCentrifug pump <br /> Sampled with: Disposable bailer SC Teflon bailer Disposable Tubing <br /> Well Diameter: 2" V _._ 6" . $" <br /> purge Vol. Multiplier: 0. 1 0165 1 , 47 2 , 61 gaLlft, <br /> Initial Measurement <br /> Initial ! <br /> e Measur n <br /> Time: � Z Time: .,_ r _ Calculated purge: <br /> Depth ofwell : Depth to water ; 25�� Actual purge: <br /> Depth to water: <br /> Start purge: Sampling time : r <br /> Time Temperature E.C. PH Turbidity ollume <br /> o 9 <br /> 1 <br /> Sample appearance: pu. bock: <br /> Equipment replaced: (check all that apply) Note condition 6f replaced itom s) <br /> 2" Locking Cap : Look: 7/32 Allenhead : L:� <br /> ..:.. <br /> 4" Looking Cap : Lock ] Olihin: 9/ 16 Bol <br /> 6" Looking Cap : Pinned A] lenhead (DWP) : <br /> Remarks : - <br /> Signature : __._..... <br />