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SAMPLING INFORMATION SHEET <br /> Client Ramage Evniromental Sampling Date <br /> Site AG Manteca Project No <br /> t392 South Moffat Boulevard Well Designation /L <br /> Manteca, CA <br /> Is setup of traffic control devices required YES time hours <br /> Is there standing water in the well boxy 1z Above TOC Below TOC <br /> Is top of casing cut leveh NO W If no,see remarks <br /> Is well cap sealed and locked9 NO lk& If no,see remarks <br /> Height of well casing nser(m inches) <br /> Well cover type 8"or 12"W 12"EMCO 8"or 12"BK 8"Chnsty <br /> 12"Christy 8"M&D :�C 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"Pomeco Other <br /> General condition of wellhead assembly Excellent Goad Fair Poor <br /> ■ Purging Equipment 2"disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" VC bailer Centrifugal pump <br /> Sampled with Disposable bailer Teflon bailer Disposable Tubing_ <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier 0 6 065 147 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time 1--I Time /J2 J8 Calculated purge <br /> Depth of well Depth to water -J , ,/ Actual purge --- )-y 6 <br /> Depth to water 1.3 _ <br /> ' Start purge b aL?_ Sampling time <br /> Tune Temperature E C pH Turbidity Volume <br /> /6 72-17 3 <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 Punned Allenhead (DWP) <br /> Remarks <br /> Signature. <br />