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VL <br /> DOULOS ENVIRONMENTAL COMPANY INFORMATION S�EET <br /> Client: Sampling Date : _00 <br /> Site . �/ULC�O'- ,�� 6_ _ Project No. : <br /> Well Designation: MW--6 <br /> �- G A <br /> Is setup of traffic control devices required? NO (Ws) time: hours <br /> Is there standing water in well box? X19 Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO E If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" BK <br /> 12 " BK 12" DWP 12" CNI 36" CNI --Lther <br /> General condition of wellhead assembly: Excellent lkooFair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer TCentrifugal pump <br /> Sampled with: Disposable bailer Teflon bailer: <br /> Well Diameter: 2" 4" 6" 8" <br /> Vol. Multiplier: 0.TT16""'' 0. 65 1 . 47 2 . 61 gal/ft <br /> .Rurge <br /> Initial_ Measurement Rechag2e, Measurement <br /> Time. 1 145: 1� — Time: Calculated purge: / D <br /> Depth of well : .2-2_ Depth to water: 2- _DLd Actual purge . <br /> Depth to water: ,/)- <br /> Start purge: - sampling time: -Z3D <br /> Time Temp. E.C. pH Turbidity Volume <br /> �-��- ->/0 to -)J� <br /> z ) IO -23 0 <br /> Sample appearance: i Lock: _ 7 <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt , <br /> 6" Locking Cap: Pinned Allenhead (DWP) . <br /> 40 Remarks : <br /> signature: <br />