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SAMPLING INFORMATION SHEET <br /> Client Ramage Environmental Sampling Date- <br /> Site SJC Garage Project No <br /> 130 North Hunter street Well Designation r <br /> Stockton <br /> Is setup of traffic control devices required? YES time. hours <br /> Is there standing water in the well box? W us Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? -2, NO UP If no, see remarks <br /> Height of well casing riser(in inches) <br /> Well cover type 8"or 12"W 12"BMCO 8"or 12"BK 8"Christy <br /> 12"Chnsty 8"M&D2!�. ! 12"M&D 12"DWP <br /> 12"CM 36"CNI 12"Pomeco Other <br /> General condition of wellhead assembly Excellent Oood_ 71<' Fair Poor <br /> ' Purging Equipment 2" disposable bailer Submersible pump <br /> 5 <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centnfugal pump <br /> Sampled with Disposable bailer_� Teflon bailer Disposable Tubing <br /> Well Diameter, 2" 4" 6" 811 <br /> ' Purge Vol Multiplier, 0 6 0 65 1 47 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time ' '/ =!� Time. _ ,' {x,'22 Calculated purge <br /> Depth of well -els Depth to water Actual purge ^ <br /> Depth to water r <br /> Start purge Sampling time r <br /> r <br /> Time Tem perature E C 2H Turbidity Volume <br /> .Z <br /> s <br /> f �g <br /> Sample appearance: C-loa-2- 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; 9/16 Bolt <br /> 6"Locking Cap: Pinned Allenhead (DWP) <br /> ' t Remarks <br /> Signature' <br /> a <br />