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rSAMPLING INFORMATION SHEET <br /> Client Ramage Environmental Sampling Date <br /> Site San Joaquin County Courthouse Project No <br /> r2222 East Weber Avenue Well Designation <br /> Stockton, 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 levels �PO If no, see remarks <br /> Is well cap sealed and locked? O 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"Pomeco Other <br /> General condition of wellhead assembly Excellent Good Fair Poor <br /> rPurging 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" <br /> Purge Vol Multiplier 16 065 147 2 61 gal/ft <br /> Initial Measurement Rechar e Measurement <br /> Time ' c Time ,'�0 10 Calculated purge <br /> Depth owell �S- Depth to water .C�O Actual purge -0 <br /> Depth t water — -L <br /> r tartin ur e r Sampling time .' <br /> p g p g <br />' Time Temperature E C RH Turbidity Volume <br /> '0 0 <br /> 1 <br /> appearance ample Lock r4'` <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 9/16 Bolt <br /> r " Locking Cap Pinned Allenhead (DWP) <br /> Remark <br /> r <br />' Signattie <br />