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r <br /> DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: <br /> Pro ect No. : 98--641-01 <br /> Site: Beacon 64 � <br /> 1210 East Hamme Lane Well Designation: L� <br /> Stockton CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well boxy YES Above TOC Below TOC <br /> Is top of casing cut level? NO 012W If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : 7L <br /> Well cover type: 8" " U <br /> UV12V 12" EMCO 8" BK <br /> 32" BK 12" DWP 32�Z�CNI L 36" CNI ,_. Other <br /> General condition of wellhead assembly: Excellent oo Fair Poor <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 /> Well Diameter: 2" 411 610 <br /> Sit- <br /> Purge Vol. Multiplier: 0. 16 0.65 1. 47 2 . 61. gal/ft. <br /> Measu a ec e e s me e <br /> Time: � Time Calculated purge: <br /> Depth of well: s 3 Depth to water: G ' -2 4 Actual purge: <br /> Depth to water: y a _ <br /> Start purge:' O q Sampling time: <br /> Time Temp. E.C. pH Turbidity volume <br /> 11 . 01 3 -7 /7/ 7-/S <br /> LSamp6'2 7 45; 7 7 /!z- <br /> Sample <br /> le appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 13753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> . Remarks: <br /> Signature: ,._,_ <br />