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SAMPLING INFORMATION SHEET <br /> Client Ramage Environmental Sampling Date �� ��` O el <br /> rSite SJC Garage • Project No <br /> ' f 130 North Hunter street Well Designation- <br /> Stockton <br /> ' Is setup of traffic control devices regwred? YES tune hours <br /> Is there standing water in the well box? Above TOC Below TOC <br /> Is top of casing cut level? NO &EA If no, see remarks <br /> ' Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser(Ln Inches) <br /> Well cover type 8 or 12 W 12 EMCO 8"or 12 BK 8' Christy <br /> ' 12"Chnsty8"M&D ;>g. 12"M&D 12"DWP <br /> 12"CM 36"CNI 12"Pomcco Other <br /> General condition of wellhead assembly Excellent Good__ Fair Poor <br /> Purging Equipment 2" disposable baiter Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer X Centrifugal pump <br /> ' Sampled with Disposable bailer Teflon bailer Disposable`ftbing <br /> Well Diameter 2" � 4" 6" 8" <br /> Purge Vol Multiplier, 0,16 065 147 2 61 gaVft <br /> Initial Measurement Recharge Measurement <br /> Time : D Time, 2 Calculated,purge <br /> Depth of well Depth to water Z /► 6�3 Actual purge <br /> Depth to water —L-3.75 <br /> Start purge Sampling time- 3 <br /> Time Temperature EC pH Turbidit Volume <br /> +gyp .� - r <br /> 4 <br /> Z <br /> 1 I <br /> � <br /> Il <br /> f <br /> Sample appearance- s�c7� _ Lock <br /> Equipment replaced• (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap Lock; 7/32 Allenhead <br /> i ' 4��Locking Cap Lock-Dolphin. 9/16 Solt <br /> 6 Locking Cap Pinned Allenhead (DWP) <br /> Remarks. O>Ztdor l/V VL, G <br /> = Signature. ` <br /> 1 <br />