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5:.. • 'Ll` G SNE_;.. AT1 :. <br /> Client: Rama a Environmental Sampling Date: $ z Q o <br /> Site: . San Joaquin CountY Courthouse Project No.: <br /> 2222 East Weber Avenue Well Designation: w.– / <br /> Stopkton, CA <br /> is 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 (ypV If no, see remarks <br /> Is well cap sealed and locked? Zrl NO If no, see remarks <br /> Height of well casing riser(in inches); <br /> Well cover type: 8"or 12"VV 12"EMCO 8"or 12"BK 8" Christy <br /> 12"Christy­ <br /> ty8"M&D 12"M&D 12"DWP <br /> 34"CNI 12"Pomeco Other: I/&7.04-915 <br /> General condition of wellhead assembly: Excellent Good Fair Poor <br /> �.. <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer —f--•-Centrifugal pump <br /> Sampled with: Disposable bailer ._ Teflon bailer Disposable Tubing <br /> Well Diameter: 2" '!' 4" 6" 81) <br /> Purge Vol. Multiplier: 0.16 0.65 1.47 2.61 .gal/ft. <br /> Initial Measurement Recharge Measurement <br /> L Time: ' ,., : Z?� Time: ; �5 Z. Calculated purge: 9!r+ � <br /> Depth of well: Z y o 9 _2- Depth to water: / 3. .3 Actual purge:. <br /> Depth to water: f Ze y <br /> Start purge: 6 n O Sampling time: d % 5 y <br /> Time Temperature pH Turbidity Volume <br /> 2 Z2. 6 g 32 ioo � 5 <br /> 2— Z �- <br /> 6 � 4 � zoo z 60 -72 <br /> Sample appearance: Lock: <br /> Equipment replaced: (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap: Lock: 7/32 Allenhead: <br /> 4"Locking Cap: Lock-Dolphin -9116 Bolt: <br /> 6"Locking Cap: Pinned Allenhead (DWP): <br /> Remarks: OD 4/ /1/ 4.1. 44 I.L- <br /> V • <br /> Signature: <br />