Laserfiche WebLink
' SAMPLING INFORMATION SHEET <br /> Ramage Environmental Sampling Date. �0 <br /> Site' 222 East Weber Street Project No . <br /> Stockton Well Designation ' <br /> Is setup of traffic control devices required? YES time _hours <br /> Is there standing water in the well box? YES Above TOC Below TOC <br /> Is top of casing cut level? NO If no, sea remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well oasmg nser(m inches) _ <br /> Well cover type 8"or 12"IJV 12"EMCO 8"or 12"BK 8"Christy <br /> l2"Christy 8"N)��XV 12"M&D 12"DWP <br /> 12"CM 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 baler Dedicated bailer <br /> 4"P C bailer Ne Centrifugal pump <br /> Sampled with: Disposable bailer Teflon bailer Disposable Tubing- <br /> Well <br /> ubing-Weil Diameter 2" Y 4" 6" g" <br /> Purge Vol Multiplier: 016 065 147 261 gal/ft <br /> Initial Measurement Recharge Measurement _ <br /> Time- Time. ` d Calculated purge <br /> Depth of well Depth to water- Q Actual purge <br /> Depth to water , 'E <br /> Start purge _ } Sampling tune: .� <br /> Time Tem era e E C I pH I Turbidity Volume <br /> 'goo 7 <br /> f <br /> Sample appearance: ick; <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 Bolt: <br /> 6"Locking Cap, Pinned AlIenhead (DWP) <br /> Remarks ^ <br /> Signature: <br />