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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 /Z! _ <br /> Stockton CA <br />' Is setup of traffic control devices required? NO ' YDS time hours <br /> Is there standing water in the well box9 NO ;Y]�SAbove TOC Below TQC <br /> Is top of casing cut level9 NO �'E5' If no, see remarks <br /> Is well cap sealed and locked R NO YES- If no, see remarks <br /> Height of well casing user(in inches) <br /> Well cover type 8"or 12"UV 12"EMCO 8"or 12"BK 8"Christy <br /> — <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 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 ti Teflon bailer --Disposable Tubing <br /> Well Diameter 2" 4" 6" 8" <br /> LPurge Vol Multiplier 0 6 065 147 2 61 gal/ft <br /> Initial Measurement Recharge Measurement r <br /> Time r 47— Time Calculated purge ! _ <br /> epth o well 3< 03 Depth to water Actual purge •0 <br /> epth to water — %Cr <br /> tart purge (? 3 0 Sampling time = �� <br /> 1 <br /> Time Temperature E C pH Turbidity Volume <br /> 36 <br /> ample appearance tiJ Lock <br /> quipment replaced (check all that apply) Note condition of replaced item(s) <br /> "Locking Cap Lock 7132 Allenhead <br /> "Locking Cap Lock-Dolphin 9116 Bolt <br /> "Locking Cap Pinned Allenhead (DWP) <br /> emark <br /> Signatu e' <br />