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SAMPLING INFORMATION SHEET <br /> Ramage Evmromental Sampling Date <br /> P g <br /> Site AG Manteca Project No <br /> 392 South Moffat Boulevard Well Designationy(�`r <br /> Manteca, CA <br /> Is setup of traffic control devices required? YES time hours <br /> Is there standing water in the well box9 YES Above TOC Below TOC <br /> Is top of casing cut leve] NO If no, see remarks <br /> ' Is well cap sealed and locked9 NO If no, see remarks <br /> Height of well casing riser(m inches) <br /> Well cover type 8"or 12"UV 12"EMCO 8"or 12"BK 8"Chnsty <br /> 12"Christy 8"M&D 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"Pomeco Other-;�/+Zt+� <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" 8" <br /> Purge Vol Multiplier 16 065 147 2 61 gal/ft <br /> Initial Measurement Recharize Measurement <br /> Time Time Calculated purge <br /> Depth of well Z Depth to water - Actual purge <br /> Depth to water <br /> Start purge Sampling time .� <br /> Time Temperature E C H Turbidity Volume <br /> /000 ez <br /> 4 <br /> 1 <br /> 40t <br /> Sample appearance Lock /�Zt <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 �P ,„� dri t�✓ �/'r�l _ _ _ -- <br /> Signature. <br />