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DOUL08 ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> • client : Ultramar Diamond Shamrock Sampling Date: <br /> Site -- Beacon g641 Project No. : 98-641-01 <br /> 7 <br /> 1210 East HammerLane— Well Designation: <br /> Stockton. CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box'' 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" UV 12" UV12" EMCO 811 BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other 1 2 <br /> General condition of wellhead assembly: Excellent eG15763P Fair Poor <br /> Purging Equipment: 2" disposable bailer ._Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 411 PVC bailer f Centrifugal pump <br /> Sampled with: Disposable bailer: X\ Teflon bailer: <br /> Well Diameter: 211� 4" 6" 811 <br /> Purge Vol. Multiplier: 0 . 16 0. 65 2. 47 2 . 61 gal/ft <br /> Initial measurement Recharge Measurement <br /> Time: Time: 2= = 7 Calculated purge: 7 <br /> Depth of well: -53 - Depth to water: I/ >- 31 Actual purge: 7 <br /> Depth to water• 4 <br /> Start purge : 3Sampling time: = 7 <br /> Time Temp. E.C. pH Turbidity Volume <br /> � 36 cc" r hoi7 - !t12— <br /> ) -, 371e0 <br /> Z -, 37 e0 2 I q Gl 17- 12 1 <br /> 2 = 39 70 10 -� <br /> Z = 3q 70 . 3 I 1 7 <br /> r <br /> Sample appearance.. ivtr- Lock: ✓"� <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock x`3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/1.6 Bolt: <br />• 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />