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SAMPLING INFORMATION SHEET <br /> Ramage Environmental Sampling Date �'� <br /> Site San Joaquin County Courthouse Project No <br /> 2222 East Weber Avenue Well Designation <br /> Stockton, CA <br /> Is setup of traffic control devices required ('Nb YS time hours <br /> Is there standing water in the well.box? NO Above TOC Below TOC <br /> Is top of casing cut level? NO If no,see remarks <br /> Is well cap sealed and locked? NO m <br /> If no,see rearks <br /> Height of well casing riser(in inches) _ <br /> Well cover type 8"or 12"LTV 12"EMCO 8"or 12"BK 8" Christy <br /> 12"Chnsty 8"M&D� 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"Pomeco Other )� <br /> General condition of Wellhead assembly Excellent Good_ Farr 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_ _T Teflon bailer Disposable Tubing <br /> Well Diameter 2" 4" 6" 811 <br /> Purge Vol Multiplier 016 065 147 2 61 gal/ft <br /> t Initial Measurement Recharge Measurement r <br /> Time z _ Time CaIcula#ed purge - <br /> Depth o well Depth to water Actual purge <br /> Depth tj water , 4n <br /> tart purge . . _ Sampling time ` �j <br /> Time Temperature EC pH Turbidity Volume <br /> eet � <br /> ample appearance �� .� � Lock" yf'� <br /> quipment replaced (check all that apply) Note condition of replaced item(s) <br /> "Locking Cap Lock 7/32 Allenhead <br /> "Locking Cap Lock-Dolphin 9/16 Bolt <br /> "Locking Cap Pinned Allenhead (DWP) <br /> emark � <br /> ISignatu e. <br />