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' SAMPLING INFORMATION SHEET <br /> Rama a Environmental Sampling Date <br /> Site San Joaquin County Courthouse Project No <br />' 2222 East Weber Avenue Well Designation <br /> Stockton, CA <br />' Is setup of traffic control devices required? YES time hours <br /> Is there standing water an the well boxy LN7a YES Above TOC Below TOC <br /> Is top of casing cut lever NO If no, see remarks <br /> Is well cap sealed and locked9 NO If no,see remarks <br /> Height of well casing riser(in inches) <br /> Well cover type 8"or 12"UV 12"EMCO 8"or 12"BK 8" Christy <br /> I2"Christy 8"= tIf 11 12"M&D 12"DWP <br /> 12"CNI 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 Centrifugal pump <br />' Sampled with Disposable bailer Teflon bailer Disposable Tubing <br /> Well Diameter 2" _ 4" 6" 8,7 <br /> Purge Vol Multiplier 016 065 147 2 61 gal/ft <br /> Initial Measurement Rechargeurement <br /> Time 1:S b Time Calculated purge <br /> Depth of well 'Z. 5-0C, Depth to water Actual purge �. •, ' <br /> Depth to water—I(f.00 <br /> , <br /> Start purge '�°` =0 Sampling time <br /> Time Temperature E C pH Turbadi ffIume <br /> { <br /> 29. 2 3. R O-Z (0 4�–�' <br /> 1 <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 /> t 6"Locking Cap Panned Allen-head (DWP)• <br /> • Remarks <br /> Signature: <br />