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SAMPLING INFORMATION SHEET <br /> Client _Ramage Environmental _ Sampling Date 00 C� <br /> Site SJC Parking Garage Project No <br /> 130 N Hunter Street Well Designation , - <br /> Stockton, CA <br /> Is setup of traffic control devices required? YES time hours <br /> Is there standing water to the well box9 YE4 Above TOC Below TOC <br /> Is top of casing cut leve17 WNOAfIf no, see remarks <br /> Is well cap sealed and locked? NO B 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"DWP <br /> 12"CNI 36"CNI 12"Pomeco Other <br /> General condition of wellhead assembly Excellent Good` 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" � 4" 6" g"_ <br /> Purge Vol Multiplier 0 16 065 147 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time ' Z O Time �/O„' t K_ Calculated purge <br /> Depth of well 3 �' Depth to water Z Actual purge Q <br /> Depth to water Z <br /> Start purge 0 : d Sampling time 0, -eQ <br /> Time Temperature E C, pH Turbidity Volume <br /> Sample appearance Lock rOI <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 9116 Bolt. <br /> 6"Locking Cap Pinned Allenhead (DWP) <br /> Remarks <br /> Signature' <br />