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DOUL08 ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: <br /> Site: Beacon #641— Project No. :. 98--641-01 <br /> 1210 East Hammer Lane Well Designation: 'Jr <br /> Stockton, CA <br /> Is setup of traffic control devices required? CO) YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? 1P <br /> � If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : +)A4 <br /> Well cover type: 8" UV12" W 12" EMCO 81' BK <br /> 12" BK 12" DWP �" CNI� 36" CNI Other <br /> General condition of wellhea assem ly: Excellent oo Fair Poor <br /> Purging Equipment: 2" disposable bailer __Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> ^r4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: Teflon bailer: <br /> Well Diameter: 2" 491Z _ 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0.65 1.47 2 . 61 gal/ft. <br /> Measurement Recharcre Measurement <br /> Calculated purge: <br /> ime:, �1 H Time• O 7,S <br /> Depth of well: Depth to water: Actual purge: 75, Lf 2L__ <br /> Depth to water: U449 <br /> Start purge: WZ _ Sampling time: VZb <br /> Time Temp. E.C. pH Turbidity Volume <br /> o L 3-,.- l 1 <br /> L+54 F T411- 7 <br /> 45-1 62- 6 1044 761_ 3 <br /> 506 6il, i' 1 ;)3-7 d{l L/ <br /> Sample appearance: ice--- Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 03753 :_ 7/32 Ailenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br />