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SAMPLING INFORMATION SHEET <br /> Ramage Environmental Sampling Date: <br /> Site: San Joaquin County Courthouse Project No.: <br /> 2222 East Weber Avenue Well Designation: <br /> Stockton, CA <br /> Is setup of traffic control devices required? Y time: hours <br /> Is there standing water in the well box? NO Above TOC Below TOC <br /> Is top of casing cut level? NO If no,see remarks <br /> Is well cap sealed and locked? O If no,see remarks <br /> Height of well casing riser(in inches): _ <br /> Well cover type: 8"or 12"UV IF EMCO 8"or 12"EK 8"Christy <br /> 12"Christy 8"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"PVC bailerCentrifugal pump <br /> Sampled with: Disposable Sampled with: Disposable bailer Teflon bailer Disposable Tubingbailer Disposable Tubing <br /> Well Diameter: 2"_ 4" 6" 8" <br /> Purge Vol. Multiplier: 0.16 0.65 1.47 2.61 gal/ft. <br /> Initial Measurement Rechaz e Measurement ` <br /> Time: Time: b Calculated purge: <br /> Depth of well: 5 Depth to water: Z Actual.purge -a <br /> Depth to water: Z � <br /> V <br /> Start purge: = Sampling time: -Y17- <br /> `W Time Temperature E.C. pH Turbidity Volume <br /> i <br /> � 1 <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:T Lock-Dolphin: 9/16 Bolt: <br /> 6"Locking Cap: Pinned Allenhead(DWP): <br /> Remarks: <br /> Signature: <br />