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SAMPLING INFORMATION SHEET <br /> Client Ramage Env Sampling Date ir _ <br /> Site Stockton Metro Airport _ Project No <br /> Stockton Well Designation z4Lf <br /> If <br /> Is setup of traffic control devices required? N- 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 If no, see remarks <br /> Height of well casing riser(m inches) <br /> Well cover type 8"or 12"W 12"EMCO 8"or 12"BK 8" Chnsty <br /> 12"Chnsty 8"M&D 12"M&D � 12"DWP <br /> 12"M36"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"PV bailer J< Centnfugal pump <br /> Sampled with Disposable bailer Teflon bailer Disposable Tubing_ <br /> r <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier 0 i 065 1 47 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time / P t Time Calculated purge T 7 <br /> Depth of well- Y Depth to water . 3 Actual purge -� <br /> Depth to water <br /> Start purge 9"!r Sampling time <br /> Time Temperature E C pH Turbidity Volume <br /> K9 �O .s , . <br /> : 64f) n <br /> i <br /> Sample appearance �� Lock <br /> Equipment replaced (check all that apply) Note condition of replaced itern(s) <br /> 2" Locking Cap Lock 7132 Allenhead <br /> 4"Locking Cap Lock-Dol hm 9/16 Bolt <br /> 6"Locking Cap. Pinned Allenhead (DWP). <br /> Remarks <br /> Signature <br /> r <br />