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_ SAMPLING INFORMATION SHEET <br /> Ramage 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 required7 AD YES time hours <br /> Is there standing water in the well boxy YF.S Above TOC Below TOC <br /> Is top of casing cut level? NO If no,see remarks <br /> Is well cap sealed and locked? 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"Christy8"M&D_ 12"M&D 12"DWP <br /> 12"CNI 36"CM 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" P.VQ bailer Centrifugal pump <br /> Sampled with Disposable bailer Teflon bailer Disposable Tubing <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier 0 16 065 147 2 61 gal/ft <br /> Initial M asurement Recharge Measurement <br /> Time Time 7.1 V6 Calculated purge <br /> Depth o well x- Depth to water - Actual purge <br /> Depth to water <br /> tart purge - '� Sampling time <br /> Time Temperature EC pH Turbidi Volume <br /> or -2- 2 V5 <br /> 07 <br /> 4 ; <br /> Sample appearance Lock <br /> quipment replaced (check all that apply) Note condition of replaced items) <br /> "Locking Cap Lock 7132 Allenhead <br /> "Locking Cap Lock-Dolphin 9116 Bolt <br /> " Locking Cap Pinned Allenhead (DWP) <br /> Remark <br /> Signatu e <br />