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- SAMPI G INFORMATION SHEET <br /> u <br /> Sampling Date : <br /> Client : Ramage Environmental P g <br /> Site : SJC Garage Project No . : <br /> 130 North Hunter street Well Designation : F <br /> Stockton <br /> Is setup of traffic control devices requved? YES time : hours <br /> Is there standing water in the well box? YMUS Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap seined and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : < <br /> Well cover type: 8 " or 12" UV 12" EMCO 8" or 12" BK 8 " Christy <br /> 12 " Christy 8" M&D�_ 12 M&D 12" DW <br /> P <br /> 12 " CM 36" CNI 12" Pomeco Other: <br /> General condition of wellhead assembly: Excellent Goo Fair Poor <br /> Purging Equipment : 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with : Disposable bailer Teflon bailer Disposable Tubing <br /> Well Diameter: 2" _ >e _ 4" 6 " 8" <br /> Purge Vol . Multiplier : 0 . 16 0. 65 1 . 47 2 . 61 gal/ft . <br /> Initial Measurement Recharge Measurement <br /> Time : / i2 - D Time : r Z Calculated purge : �q� <br /> Depth of well : '? A'5% - Depth to water: Z (5, Actual purge : <br /> Depth to water: _ <br /> Start purge: J Sampling time : <br /> Time Temperature E. C . PH Turbidity Volume <br /> -G 17 / o 9 0 P 77 <br /> S •oFs00568 " <br /> / <br /> Lock : /J()/O ' C <br /> : <br /> Sample appearance � <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: 9/ 16 Bolt : <br /> 6" Locking Cap : Pinned Allenhead (DWP) : <br /> Remarks : <br /> Signature : <br /> I <br />