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-- --- - - - SAMPLIP " INFORMATION SHEET <br /> Rama a Environmental Sampling Date –Z- - <br /> • Site San Joa uin County Courthouse Protect No., <br /> 2222 East Weber Avenue Well Designation <br /> Stopkton, CA <br /> Is setup of traffic control devices required'? YES tune _Hours <br /> Is there standing water in the well box? Above TOC Below TOC <br /> Is top of casing cut level? NO If no,see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well easing riser(in inches) <br /> Well cover type 8"or 12" W 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy8"M&D 12"M&D 12"DW <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 /> , QVC bailer ----� —Centrifugal pump <br /> Sampled with Disposable bailer ��w Teflon bailer Disposable Tubmg_ <br /> Well Diameter 2" 4" 6" g" <br /> Purge Vol.Multiplier 016 065 147 2 61 gal/#t <br /> Initial Measurement Rechar a Measurement �J <br /> Time ; 2Jr- Tune .' Calculated purge e,,.--.- /' <br /> Depth of well _ "Z -00 Depth to water- C Actual purge-_ �0 <br /> Depth to water. 2 S.'z 0 _ <br /> Start purge. Sampling time- `ti 0 <br /> Time Temperature E C pH Turbidity Volume <br /> • � 1Y - / Z <br /> Sample appearance, Lock. <br /> Equipment replaced- (check all that apply) Note condition of replaced item(s) <br /> Locking Cap Lock- -7132 Allenhead. <br /> "Locking Cap- Lock-Dolphui, 9116 Bolt: <br /> Locking Cap, Pinned Allenhead (DWP): <br /> marks. <br /> • <br /> r <br /> iture: <br /> ti <br />