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' SAMPLING INFORMATION SHEET <br /> 00 <br /> Ramage Environmental Sampling Date 7 f`� <br />' Site 222 East Weber Street Project No <br /> Stockton Well Designation <br /> 1 Is setup of traffic control devices required? YES time hours <br /> Is there standing water in the well box? YRS Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> s Is well cap sealed and locked? NO S If no, see remarks <br /> Height of well casing riser(in inches) <br /> Well covcr type 8" or 12"UV 12" FMCO 8"or 12"BK 8" Chesty- <br />, 12"Chesty 8"M&D 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"Pomeco_ Other -b�l^�y <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 X-- Teflon bailer Disposable Tubing- <br /> Well <br /> �� <br /> Well Diameter 2" 4" 6" 8" <br />' Purge Vol Multiplier, 16 065 147 2 61 gal/ft <br /> Initial Measurement recharge Measurement <br /> Time- I / Time il 1 1 a Calculated purge <br /> Depth of well 15,-6 Depth to water, ' • Actual purge <br /> Depth to water - <br />' Start purge - 3 Sampling time r <br /> Time Temperature EC pHTurbidl Volume <br /> C <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-Dolplun 9/16 Bolt, <br /> f 6"Locking Cap, Pinned Allenhead (DWP); <br /> 1 Remarks- <br /> Signature' <br /> emarksSignature' <br />