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SAMPLING INFORMATION SHEET <br /> ' <br /> Client Ramage Evniromental Sampling Date <br /> 5 <br /> Site AG Manteca Project No <br /> 392 South Moffat Boulevard Well Designation <br /> Manteca, CA <br /> �f Is setup of traffic control devices required9NO YES tune hours <br /> Is there standing water m the well boxy S Above TOC Below TOC <br /> Is top of casusg cut level'? 1 kd3 If no,see remarks <br /> Is well cap sealed and locked9 NO If no, see remarks <br /> Height of well casing user(m inches) z C.. <br /> Well cover type 8"or 12"W l2"EMCO 8"or 12"BK 8"Chnsty <br /> 12"Christy 8"*0 EV -t( 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"Porneco Other <br /> General condition of wellhead assembly Excellent Good Fair Poor <br /> Purging Equipment _X . 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" 671 <br /> g» <br /> Purge Vol Multiplier Q 16 065 147 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time Q Time _ll '/ / Calculated purge <br /> Depth of well Z Depth to water / Actual purge <br /> Depth to water ` <br /> Start purge F 60 Sampling time 1 <br /> Time Tem erature EC pH !Lbidity Volume <br /> Z /. D 7- <br /> Sample appearance C_ 6tA Lock <br /> 2C-) Gl! <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2"Lpcking Cap Lock 7/32 Allenhead <br /> 4"Locking Cap Lock-Dolphin. 9/16 Dolt <br /> 6"Locking Cap Pinned Allenhead (DWP) <br /> SRemarks <br /> Signature: <br />