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SAMPLING INFORMATION SHEET <br /> Ramage Environmental � Sampling Date- <br /> Site No„ <br />' Site 222 East Weber Street Pro <br /> i = ' <br />' Stockton Well Designation /� l <br /> Is setup of traffic control devices requued7 0 YES time 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? r] NO If no, see remarks <br /> Height of well casing riser(in inches) Lr <br /> Well cover type 8" or 12" UV 12"BMCO 8"or 12"BK 8"Chnsty <br /> 12"Chnsty 8"M&D 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"PomecoOther <br /> General condition of wellhead assembly Excellent Good Fair Poor <br />' Purging Equipment 2" disposable bailer Submersible pump <br /> f 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer _R �wCentrifugal pump <br />' Sampled with Disposable bailer Teflon bailer Disposable Tubing <br /> Well Diameter 2" 4"_ �'1► &17 <br />' Purge Vol Multiplier- 16 065 1.47 2 61 gat/ft <br /> Initial Measurement Recharge Measurement <br /> Time / ITime; e / > „S Calculated purge <br /> Depth of well T-/ . 6'� Depth to water Actual purge 4 <br /> Depth to water o <br />' Start purge - YL5 Sampling time <br /> Time Tem erature EC I <br /> pH Turbidi yore <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, Lock-Dolphin. 9/16 okt; <br /> 1 6"Locking Cap; Pinned Allenhead (DWP); <br /> s <br /> Remarks <br /> Signature' <br /> i <br />