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nm..--,y.. • -S .- v''F y � s fti� 'I ax N1.7^+..I".Fr�1C¢��.,i � �-, ..- <br /> r <br /> -� SAMPLING INFORMATION SHEET�i <br /> Client Ramage Environmental Sampling Date 7:? ` 2 <br /> Site SJC Garage Project No <br /> ' 130 North Hunter street Well Designation /6i <br /> Stockton <br /> i <br /> ' Is setup of traffic control devices required? YES time hours <br /> Is there standing water In the well box? NO A51S Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> ' Is well cap scaled and locked? NO If no, see remarks <br /> i Height of well casing nser(in inches) <br /> II Well cover type 8"or 12"W 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Chnsty 8"M&D�_ 12"M&D 12"DWP <br /> 12"CM 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 Centnfugal pump <br /> ' Sampled with Disposable bailer ^ Teflon bailer T 'Disposable Tubing <br /> Well Diameter 2" c 4" 6" 8" <br /> ' Purge Vol Multiplier- 016 065 1,47 , 2 61 gallft <br /> Initial Measurement Rechar a Measurement <br /> Time :O 2` Time, Calculated purge C` S <br /> Depth of well Oil Depth to water - Actual purge <br /> Depth to water TGa� <br /> Start purge Sampling time- r <br /> Time Tem erature E C H TurbidityVolume <br /> �© 74 <br /> 0 Qty. 9or <br /> ` � <br /> Sample appearance. Lock <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap, Lock 7/32 Aller head <br /> 4" Locking Cap Lock-Dolphin, 9/16 Bolt <br /> 6" Locking Cap, Pinned Allenhead (DWP) <br /> Remarks <br /> Signature. <br />