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VIONMENTAL COMPANY SAMPLING INFORMATION SHEET ATION SHEET <br /> Ultramar Sampling Date:_9-�&_ - 17y <br /> Bacon #695 Project No. : 94-695-01 5..01 <br /> !9 3 <br /> �• S. Cherokee Lane Well Designation: Mw- <br /> Lodi, CA <br /> traffic control devices required? YES time: hours hours <br /> nding water in well box? ® YES Above TOC Below TOC X Below TOC <br /> sing cut level? NO IF If no, see remarks see remarks <br /> sealed and locked? NO If no, see remarks see remarks <br /> 11 casing riser (in inches) : � -- <br /> yPe: 811 UV 1211 W 1211 EMCO 8 11 BK 1 BK <br /> 1211 DWP 1211 CNI _� CNIX Other <br /> ition of wellhead assembly: Excllent oar Fair Poor Poor <br /> pment: _ �C 2f1 disposable bailer Submersible pump 31e pump <br /> 211 PVC bailer Dedicated bailer I bailer <br /> 4t1 PVC bailer Centrifugal pump yal pump <br /> with: Disposal bailer:--,X— Teflon bailer: <br /> Diameter: 211 4"'�(- 619 811 <br />'ultiplier: 0. 16 0. 65 1 .47 2 . 61 gal/ft. lal/ft. <br /> urement Recharge Measurement <br /> �� <br /> Time: ? Calculated purge: y •ge; <br /> 1. W Depth to water: 1 5 Actual purge: •ge; 5 . 7 ,f <br /> 0 Sampling time:- <br /> Temp. E.C. pH Turbidity Volume ►me <br /> 76/ 3 7 5 � � B�cLED o�y BarcE� p�Y <br /> 76 0 9 72— 7 1 <br /> r1 rF <br /> appearance: r✓ Lock: <br /> placed: (Check all that apply) Note condition of replaced item placed item <br />{ Cap: Lock #3753 : 7/32 Allenhead: read: <br /> Cap: Lock-Dolphin: 9/16 Bolt: Olt: <br /> Cap: Pinned Allenhead (DWP) : WP) : <br /> r� <br /> IV Ar <br /> ti `l <br />