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' SAMPLING INFORMATION SHEET <br /> Ramage Environmental Sampling Date <br /> Site 222 East Weber Street Project No., <br /> l � <br /> 1 Stockton Well Designation <br /> Is setup of traffic control devices requuedv YES time hours <br /> Is there standing water in the well box? Above TOC Below TOC <br /> Is tap of casing cut level" NO If no, see remarks <br /> r Is well cap sealed and locked? NO If no, see remarks <br /> : Height of well casing riser(in inches) <br /> 1 Well cover type 8" or 12" UV 12"EMCO 8"or 12" BK 8"Chnsty <br /> 12"Christy 8"M&D 12"M&D 12"DWP <br /> 12"CNI 36" CNI 12"Pomeco Other of,f<s <br /> General condition of wellhead assembly Excellent Good Fair Poor <br /> ' Purging Equipment2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> ' Sampled with Disposable bailer Teflon bailer Disposable Tubing <br /> Well Diameter 2" 4"_ 62' 871 <br /> Purge Vol Multiplier 16 065 147 2 61 gallft <br /> Initial MSgsurement Recharge Measurement <br /> ' Time ' "L c Time _ ''_. _� CaIcuIated purge <br /> Depth of wel! `�S.�J� pepth to water �.� j Actual purge • <br /> Depth to water f�. � 2 <br /> Start purge Sampling time • <br /> Time Temp erature E C PH Turbid, Volume <br /> Z z3 <br /> Sample appearance Lock <br /> Equipment re replaced check all <br /> p ( that apply) Note condition of replaced items) <br />' 2"Locking Cap, Lock _ 7/32 Allenhead <br /> i 4"Locking Cap. Lock-Dolphin, 9/I6 Bait, <br /> 6"Locking Cap; Pinned Alienhead (DWP)- <br />' i <br /> Remarks <br /> f <br /> 1 <br /> Signature <br /> 1 i <br />