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-- - SAMPLING INFORMATION SHEET <br /> �� AAI IppAIIrP� IiA�I�li�1�11lAAlIIQ <br /> Client Ramage Environmental Sampling Date C `/ <br /> ' Site SJC Parkin Garage Project No <br /> • <br /> 130 N Hunter Street Well Designation <br /> Stockton, CA <br /> lIs setup of traffic control devices required? YES time hours <br /> Is there standing water in the well box? Above TOC Below TOC <br /> Is tap of casing cut level? 19 If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing nser(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—'k— Teflon bailer Disposable Tubing <br /> Well Diameter 2" X 4" 6" 8" <br /> Purge Vol Multiplier 016 065 147 2 61 gal/fl <br /> Initial Measurement _Recharge Measurement /� <br /> Time :/ Time e"d '- Y� Calculated purge 7. '9 <br /> Depth of well 3 35. Depth to water Z-6,9 Actual purge <br /> Depth to water 57"o 5 <br /> ' Start purge - Sampling time + 3 <br /> Time Temperature E C, pH Turbidity Volume <br /> 0 3 3 . <br /> Sample appearance 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 9116 Bolt• <br /> ' 6"Locking Cap Pinned AIlenhead (DWP) <br /> Remarks <br /> Signature <br />