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SAMPL11""INFORMATION SHEET <br /> Ramage Environmental Sampling Date: 3 <br /> 6)57 <br /> ,r Site: San Joaquin CoLm Courthouse Project No.: <br /> 2222 East Weber Avenue. Well Designation: ""'e-&' ` <br /> Stockton, CA _ <br /> Is setup of traffic control devices required?. YES time: hours <br /> `r Is there standing water in the well box? NO Above TOC Below TOC <br /> Is top of casing cut level? 90 If no,see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well Casing riser(in inches): _ <br /> Well cover type: 8"or 12"UV 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy8"M&D 12"M&D 12"DWP' <br /> 12"CNI 36"CNI .?' — . 12"Pomeco Other: <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"`P,VCbailer Centrifitgalpump <br /> Sampled with: Disposable bailer 7�. Teflon bailer Disposable Tubing _ <br /> V <br /> Well Diameter: 2" _ 4" ' ` 6" 8" <br /> Purge Vol. Multiplier: 0.16 0:65 1.47 2.61 .gal/ft. <br /> Initial M asurement Recharge Measurement <br /> Time: 7 :30 Time: ! 1-3 Calculated Purge: <br /> Depth of well: • (P0 Depth to water: Actual,purge.-._ <br /> Depth to water: 3 F � T <br /> Start purge: r, - f Sampling time: <br /> a.r <br /> Time Tem erature E.C. pH TurbidRy Volume <br /> ✓� Y `O <br /> 907 <br /> V <br /> Sample appearance: Lock: �v <br /> Equipment replaced: (check all that apply.) Note condition of replaced items) <br /> 2"Locking Cap: Lock:. 7/32 Allenhead:. <br /> 4"Locking Cap: Lock-Dolphin: 1 9/16 Bolt: <br /> 6"Locking Cap:. Pinned Allenhead(DWP): <br /> Remarks: <br /> Signature: <br />