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1 SAMPLING INFORMATION SHEET <br /> Client Ramage Environmental Sampling Date `� r <br /> ' Site SJC Garage Project No <br /> 130 North Hunter street Well Designation <br /> Stockton <br /> Is sotup of traffic control devices required? YES tune hours <br /> Is there standing water in the well box? us Above TOC Below TOC <br /> fIs top of casing cut level? NO If no, see remarks <br /> ' Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser(in inches) <br /> PPP Well cover type 8"or 12" UV 12"EMCO 8"or 12"BK 8"Christy <br /> ' 12"Christy 8"M&DSK----- 12"M&D 12"DWP <br /> 12"CM 36"CNI 12"Pomeeo Other <br /> General condition of wellhead assembly Excellent 00od7,\,Z_ Fair Pvar <br /> ' Purging Equipment 2" disposable bailer Submersible pump <br /> 2"PVC bailer Dedicated bailer <br /> 4"PVC bailer X �CentrifugaI pump <br /> Sampled with Disposable bailer ��{ Teflon bailer Disposable Tubing <br /> Well Diameter, 2" 4" 6" 8" <br /> Purge Vol Multiplier —016 0.65 147 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time 3: 00 Time. Calculated purge <br /> Depth of well 15� Depth to water 2. Actual purge A'FA <br /> Depth to water Z <br /> Start purge Sampling time, <br /> Time Temperature E C pH Turbidi Volume <br /> � <br /> :Q / 02 <br /> S{1 <br /> S <br /> I � <br /> 1 1 <br /> i <br /> Sample appearance: 010 4404� Lock. <br /> ' e all Equipment replaced (check a that apply) Note condition of replaced item(s) <br /> 2"Locking Cap Lock: /32 Allenhead <br /> 4"Locking Cap Lock-Dolphin- 9/16 Bolt <br /> 6"Locking Cap: Pinned Allenhead (DWP) <br /> Remarks <br /> Signature' <br /> 1 <br />