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SAMPLING INFORMATION SHEET <br /> Client Ramage Environmental Sampling Date �("` 0 <br /> ' Site SJC Parking Gara e Project No <br /> ' 130 N Hunter Street Well Designation <br /> t <br /> Stockton, CA <br /> Is setup of traffic control devices required9 YES time hours <br /> Is there standing water in the well boxy Yas Above TOC Below TOC <br /> ' Is 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 /> Well cover type 8"or 12"UV 12"EMCO 8" or 12"BK 8"Christy <br /> 12"Christy8"M&D e< 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"Pomeco Other <br /> General condition of wellhead assembly Excellent Goode Fair Poor <br /> tPurging Equipment - 2" disposable bailer Submersible pump <br /> 2"PVC bailer Dedicated bailer <br /> 4"PVC bailer Centrifugal pump <br /> jSampled with Disposable bailer C Teflon bailer Disposable Tubing <br /> Well Diameter 2" _ 4" 6" 8"_ <br /> Purge Vol Multiplier 0 16 065 147 2 61 gal/ft <br /> Initial Measurement Recharize Measurement <br /> Time ,t'-.5- Time = l Calculated purge <br /> ftDepth of well 3 Depth to water • / Actual purge <br /> Depth to water 2 S. <br /> Start purge �r Sampling time <br /> 1 Time- Teerature E C H TurbidityVolumerriZz_ 105 <br /> v,'39 22 6 <br /> 1 , <br /> Sample appearance 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 /> Remarks <br /> Signature <br />