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SAMPLING INFO//RMATION SHEET <br /> Client- Ramage Env Sampling Date <br /> Site Stockton Metro Airport _ Project No <br /> � Stockton Well Designation <br /> rIs 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, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser(in inches) f►-. <br /> Well cover type 8"or 12"LTV 12"EMCO 8" or 12"BK 8" Christy <br /> 12"Christy 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 _ ,. T_Centrifugal pump <br />' Sampled with Disposable bailer_ -�e Teflon bailer Disposable Tubing <br /> Well Diameter 2" Ll 4" 6" 8" <br /> Purge Vol. Multiplier 716 065 1 47 2 61 gal/ft <br /> Initial Measurement Recharge Measurement r <br /> Time • Time 1 Calculated purge 4v <br /> Depth of well D Depth to Water. Actual purge <br /> Depth to water <br /> Startpurge Sampling time �— <br /> Tune Temperature E.C. pH Turbidity Volume <br /> -' -' ' Jel -? <br /> r <br /> S iiiple appearance <br /> .1C)&- Lock <br /> r <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2" Locking Cap Lock 7/32 Allenhead _ M <br /> 4"Locking Cap Lock-Dolphin 9/16 Bolt <br /> 6"Locking Cap Pinned Allenhead (DWT) <br /> Remarks <br /> Signature <br /> 1 <br />