Laserfiche WebLink
SAMPLING INFORMATION SHEET <br /> Client Ramage Evniromental _ Sampling Date � �d ' <br /> Site AG Manteca _ Project No <br /> 392 South Moffat Boulevard Well Designation �l..c..�✓- <br /> Manteca, CA <br /> Is setup of traffic control devices required? YES time hours <br /> Is there standing water in the well boxy 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 nser(in inches) <br /> Well cover type 8"or 12"W 12"EMCO 8"or 12"BK 8" Christy <br /> 12"Christy 8"M&D 12"M&D 12"DWF <br /> 12"CNI 36"CNI 12"Pomeco Other few w lr l <br /> General condition of wellhead assembly Excellent Good Fair Poor <br /> IPurging Equipment 2" disposable bailer Submersible pump <br /> 2"PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with Disposable bailer ,3 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 Recharge Measurement <br /> TimeTime = / Calculated purge <br /> Depth of well Z5 Depth to water Actual purge <br /> Depth to water _ --%0 <br /> Start purge �5 ' o Sampling time <br /> Time Tem erature E C H TurbidityVolume <br /> 15 <br /> . 6 I <br /> 3 e16 -21 <br /> r <br /> rSample 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 9116 Bolt <br /> 6"Locking Cap Pinned Allenhead (DWP) <br /> Remarks <br /> Signature <br />