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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: 11-34-98 <br /> Site: Beacon 1641 Project No. : 98-641-01 <br /> 1210 East Hammer Lane Well Designation: V1/ <br /> Stockton CA <br /> Is setup of traffic control devices required? � YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? NO , If no, see remarks <br /> Is well ca sealed and locked? NO `JE If no, see remarks <br /> p <br /> Height of well casing riser (in inches) : ;/o <br /> 12" UV 1t rr <br /> Well cover type: 8" W- 12 EMCO 8 � $ <br /> 12" BK 12" DWP 12" CNI 36" CNZ they <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 A centrifugal pump <br /> Sampled with: Disposable bailer: Teflon bailer: <br /> Well Diameter: 2" X 4" 611 all <br /> Purge Vol. Multiplier: 0. 16 0.65 1. 47 2 . 61 gal/ft. <br /> nitial Measurement Recharae Measurement <br /> Dime; o Time: Z Calculated purge:/ <br /> epth of well: // O Depth to water Actual purge:1 rr � <br /> Depth to water: u L _ <br /> Start purge: 3 4 Sampling t ime: 3 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 3 64 ? y5 ] 73 - - Z <br /> 3 <br /> 3 4'? 6 L► '137 <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 />