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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFO ET'l <br /> Client: Ultramar Diamond Shamrock Sampling Date: 3L�� <br /> Site: Beacon#641 _ Project No. : 98-641-01 <br /> 1210 East Hammer Lane Well Designation:, W-0 — . <br /> Stockton CA <br /> Is setup of traffic control devices required? YES time:_, hours <br /> OY <br /> Is there standing water in well box? Y S Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO E If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI her/z�'� �!� -- <br /> General condition of wellhead assembly: Excellent ood Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer 2C Centrifugal pump <br /> Sampled with: Disposable bailer:_ Teflon bailer: <br /> Well Diameter: 211— c 4u 611 811 <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time• 1�-f Time: 1-)-7_ Calculated purge: /5 <br /> Depth of well: -21,91 Depth to water: O - F1 — Actual purge: <br /> Depth to water• �Ute'' <br /> Start purge: 4- 18 Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> 1103 1;11 <br /> F-1 <br /> c � <br /> Sample 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 /> 1 <br /> Signature: <br />