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DOLILOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> • Client: Ultramar Diamond Shamrock Sampling Date: G ©� <br /> Site: Beacon f641 Project No. : 98-641-01 <br /> 2 ast Hammer Lane Well Designation: GCi <br /> Stockton, CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? SY 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) : * 2 <br /> Well cover type: 8" UV12" UV12" EMCO 8" BK <br /> 12" BK 12" DWP -�.'7y CNI X _ 36" CNI Other <br /> General condition of wellheac "91 sembly: Excellent Fair Poor <br /> Purging Equipment: 2" disposable bailer _Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailerCentrifugalpump <br /> Sampled with: Disposable bailer: Teflon bailer: <br /> Well Diameter: 2" 4tf-2L 6" 8" <br /> Purge Vol . Multiplier: 0 . 16 0. 65 1 . 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement '?) .3 <br /> Time: Ly-_ 0 Time: -.<' - Z J__ Calculated purge: <br /> Depth of well : 73 ' 7 Depth to water: �/ - Actual purge: <br /> Depth to water: N ? /S <br /> Start purge: = Sampling time:_ S = 2- <br /> Time <br /> Time Temp. E.C. pH Turbidity Volume <br /> l y 67 - 2 -�- <br /> '/� 67 • <br /> // Y ;; 7 - 5c/ <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 03753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature- <br />