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SAMPL11"': INFORMATION SHEET <br /> Rama a Environmental Sampling Date: <br /> Site San Joaquin County Courthouse Project No <br /> 2222 East Weber Avenue Well Designation <br /> Stopkton, CA <br /> Is setup of traffic control devices required? elqz yu time hours <br /> Is there standing water m the well box? 0 9 Above TOC Below TOC <br /> Is top of casing cut level? 1300 If no, see remarks <br /> Is well cap scaled and locked? NO If no, see remarks <br /> Height of well casing riser(m inches) <br /> Well cover type 8"or 12"UV 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy 8"M&D 12"M&D 12"DWP <br /> 12"CM 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 bailer Centrifugal pump <br /> Sampled with Disposable bailer-� Teflon bailer Disposable Tubing�� <br /> Well Diameter 2" 4" 6" g" <br /> Purge Vol Multiplier. 0 16 0.65 147 2 61 gal/ft <br /> Initial M asurement Recharge Measurement <br /> Time O Tune- 92 1-3 Calculated purge 7 <br /> Depth of well 'Z Depth to water: -1,9 Actual purge, <br /> Depth to water 23 <br /> Start purge e/ Sampling time, <br /> tI <br /> Time Temperature E.C. PH Turbidity Volume <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 /> s 4"Lockmg Cap- Lock-Dolphin: 9/16 Bolt. <br /> µ <br /> 6"Locking Cap, Pinned Allenhead(DWP): <br /> Remarks, ' r lig'"' -C f/ <br /> 1 <br /> Signature: <br /> a, <br />