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DOULOS ENVIRONMENTAL -OMPANY SAI( ING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date:._ <br /> Site: Beaco 641 Project No. : 98-64.1 <br /> -01 <br /> 1210 East Hammer Lane Well Designation: w- <br /> Stockton CA <br /> Is setup of traffic control devicesrequired? YES tiro e• hours <br /> TOC Below TOC <br /> Is there standing water in well box.' If no, see remarks <br /> Is top of casing cut level? bo <br /> NO If no, see remarks <br /> Is well cap sealed and locked? NO <br /> Height of well casing riser (in inches) : —w 12" EMCO 11 B 2 K'[ E <br /> Well cover type: 8" UV_, 12u �'r 3 6,r CNI Other f� <br /> 12" BIC 12" DWP 12 CHI_ — � Fair Poor <br /> General condition of wellhead assembly: Excellent fur <br /> 2" disposable bailer "'/—Submersible pump <br /> Purging Equipment: ^� Dedicated bailer <br /> 21+ PVC bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: <br /> S Teflon bailer: <br /> Well Diameter: 211. 4" 6" 8@'..-- l <br /> 0. 16 <br /> Q.65 1. 47 2 . 61 gal/ft. <br /> Purge Vol. Multiplier: <br /> Jnit1a easu ement Recharge Measurement <br /> purge: 7 7 ,Time: Zg� <br /> Time:_ S 2 (p D Depth towat�= Actual purge: � f <br /> Depth of well: <br /> Depth to water: <br /> Start purge• Sampling time: <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> 9 <br /> s <br /> 7 -7 , Z-Z -- 3 <br /> sample appearance:: c_ -!9 Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> Lock #3753 :._ 7/32 Allenhead: <br /> 2" Locking Cap: 9/16 Bolt: <br /> 4" Locking Cap: Lock-Dolphin:_ <br /> Pinned Allenhead (DWP) : <br /> - 6" Locking Cap• <br />• Remarks: <br /> Signature : <br />