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DOULOS ENVIRONMENTAL -JKPANY SAM �NG INFORMATION SHEET <br /> Client: U tr mar DiaLnond SiamKOCk Sampling Date: '9 <br /> Site: Beacon #641 Project No. : 98-641-0_ <br /> 1gJ0 East Hammer Lane Well Designation: W <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? If no, see remarks <br /> Is well cap sealed and locked? NO YZW If no, see remarks <br /> Height of well casing riser (in inches) : `t13 <br /> Well cover type: 8" UV_ 12" UV 12" EMCO 8" BIC <br /> 12" BK_ 12ft ra conditionDWP of wellhead"assembly: Excellent her <br /> General 4 Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer ACentrifugal pump <br /> Sampled with: Disposable bailer: X Teflon bailer: <br /> �� <br /> Well Diameter: 2" 4 611 811 <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> initis P+Ieasurement 'Recharge Measurement <br /> Time: 1S3 _ Time: 2. Calculated purge: 14 <br /> Depth to water• 6 Actual purge: + <br /> Depth of well: �+ O <br /> Depth to water:_ 14q,2- - <br /> Start <br /> 44, - <br /> Start purge: '7 Sampling time:__' 2-1 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 61J 70 3 � c ; 1 <br /> 'SSD � � 7 - 3 <br /> "I <br /> 44 <br /> Sample appearance: - Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> Lock ;#3753 • 7/32 Allenhead: <br /> 2" Locking Cap: <br /> 4" 916 Bolt:Locking Cap: Lock-Dolphin: / <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />