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,t I <br /> SAMPLING INFORMATION SHEET <br /> i <br /> Client Ramage Environmental Sampling Date <br /> _ r <br /> g - _- P <br /> Site San Joaquin County Courthouse Project No <br />' 2222 East Weber Avenue Well Designation i <br />' Stockton, CA <br /> i <br /> Is setup of traffic control devices required9 YES time hours <br /> Is there standing water in the well boxy VES Above TOC Below TOC <br /> Is top of casing cut leve19 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 />' 12" Christy 8"M&D 12"M&D 12"DWP <br /> 12" CNI 36"CNI 12"Poineco Other ��'"� <br /> General condition of wellhead assembly Excellent Good Fair . III 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 posable Tubing <br /> I <br /> Well Diameter -2" 4" 6" 8" <br /> Purge Vol Multiplier 0 16 065 147 2 61 gal/ft <br /> Initial Measurement Rechar e Measurement <br /> Time = ` Time © � �' Calculated purge <br /> Depth o well1&701 <br /> Depth to water Actual purge . <br /> Depth t water <br /> tartpurge 070Sampling time /0 P <br />' Time Temperature E 2H Turbidity Volume <br /> �r- 6119 <br /> ample appearance ri�� Lock <br /> quipment replaced (check all that apply) Note condition of replaced item(s) <br /> " Locking Cap Lock 7/32 Allenhead <br /> " Locking Cap Lock-Dolphin 9116 Bolt _ <br /> M " Locking Cap Pinned Allenhead (DWP) <br /> • Remark <br /> Signature <br />