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SAMPLING INFORMATION SHEET <br /> • <br /> Ramage Evniromental Sampling Date Z�© <br /> Site AG Manteca Project No <br /> 392 South Moffat Boulevard Well Designation <br /> Manteca, CA <br /> Is setup of traffic control devices required9 Q9 YES time hours <br /> Is there standing water m the well boxyAbove TOC Below TOC <br /> Is top of casing cut level9 NO � If no, see remarks <br /> Is well cap sealed and locked9 7 Y NO If no, see remarks <br /> ' Height of well casing riser(m inches) -i <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 g V161r <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 bail Teflon bailer Disposable Tubing <br /> 4 <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier 016 065 147 2 61 gal/fl <br /> Initial Measurement Recharge Measurement '/ <br /> Time t O Time t Calculated purge t� <br /> Depth of well Depth to water .5 Actual purge <br /> Depth to water <br /> Start purge Q'�r Sampling time <br /> Time Temperature E C pH Turbidity Volume <br /> � la � 35 3 • `/ / � 9T� •�S � <br /> c 2 <br /> � ] •� <br /> Z7 <br /> J!2 • $ <br /> Sample appearance Com( _ Lock y <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 />