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SAMPLING INFORMATION SHEET <br /> Ramage Environmental Sampling Date: <br /> Site: San Joaquin County Courthouse Project No.: <br /> 222 East'Weber Avenue Well Designation: .� <br /> Ad Z tI <br /> Stockton, CA <br /> Is setup of traffic control devices required? YES time: hours <br /> `r <br /> Is there standing water in the well box? NO M Above TOC Below TOC <br /> Is top of casing cut level? NO em If no, see remarks <br /> Is well cap sealed and locked? 6 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"SK 8"Christy <br /> 12"Christy8"M&D 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"Pomeco Other: ��►-r4.�°.f' <br /> General condition of wellhead assembly: Excellent Good�„G. 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 bailer ,e...._... Teflon bailer 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 Recharge Measurement <br /> Time: 4 % 0 !? Time: .'2. Calculated purge: S.0 <br /> Depth of well: 3 . 03 Depth to water: 2 Actual purge: _,i" <br /> Depth to water: _Z y. 11 <br /> Start purge: Sampling time: 712„�_ <br /> Time Temperature E.C. pH Turbidity Volume <br /> 2 7 <br /> Z v <br /> � <br /> /Y 21. 13 7. 49 3 <br /> J <br /> Sample appearance: Lock: <br /> w <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 />