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DOULOS ENVIRONMENTAL —aMPANY SAMI NG INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: <br /> i <br /> Site: Beacon 64 Project No. : 98-641-01 <br /> 210 Fiat, Hammer_ Lane Well Designation: <br /> Stockton CA <br /> Is setup of traffic control devicesrequired? YES time: <br /> iro e, hours <br /> TOC Helow TOC <br /> Is there standing water in well box.' <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) : �0 <br /> Well cover type: 8" UV12" UV 12" EMCO_ 8" BK' <br /> P4�I�co <br /> 12" BK 12" DWP 12" CNI36" CNI Other1 � <br /> --- Excellent oo Fair Poor <br /> General condition of wellhead assembly: <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: <br /> u <br /> Well Diameter: 2 �,� 4" 618 8" <br /> Purge Vol . Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> initial Measurement Rechara Measurement <br /> Time: Calculated purge:/ <br /> Time:_ I 2 7 �0 j • 7D Actual purge: t <br /> Depth of well: 71 Depth to water: <br /> Depth to water: 37 ._ <br /> / Sampling time: r 23 <br /> Start purge: <br /> Time Temp. E.C. pH Turbidity Volume <br /> �f 13 � 7 • / '� / ? -7 - YO , <br /> Cf to 7 - 35 <br /> vv 3 E Ss 7 3 a <br /> 7 Gff 7 8 '7 <br /> Sample appearance. Lock: �-- <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead:_,�.,,Y <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) :_ <br /> Remarks: <br /> Signature <br />