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--- SAMPLING INFORMATION SHEET <br /> t <br /> Client Ramage Environmental Sampling Date <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 boxy at Above TOC Below TOC <br /> Is top of casing cut level? NO If no,see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser(in inches) <br /> Well cover type 8"or 12"UV 12"EMCO 8"or 12"BK 8"Chnsty <br /> 12"Christy 8"M&D 12"M&D 12"DWP <br /> 12"CNI 36"CNI 7� 12"Pomeco Other <br /> General condition of wellhead assembly Excellent Good Fahr 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___S,00O _ Teflon bailer Disposable Tubing <br /> Well Diameter 2" �e_ 4" 6" 8" <br /> Purge Vol Multiplier 0 16 065 147 2 61 gal/ft <br /> Initial Measurement Rechar a Measurement <br /> Time _��:S / Time 17,064 Calculated purge <br /> Depth of well Depth to water fL 'C10 Actual purge <br /> Depth to water <br /> Start purge g Sampling time <br /> 6 <br /> 72 <br /> Time Temperature E C pH Turbidity Volume <br /> ll< C/9 -2 . (�46 t <br /> o7er,AV <br /> Sample appearance �jf� 469 _ Lock ZVIF <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap Lock 7132 Allenhead <br /> 4"Locking Cap Lock-Dolphin 9/16 Bolt <br /> 6"Locking Cap Pinned Allenhead (DWP) <br /> Remarks <br />' Signature <br />