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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET } <br /> Client: Ultramar Sampling <br /> Date: la-7g5 <br /> Site: Beacon #474 Project No. : 94-474-01 <br /> 3440 E. Main Street Well Designation: MW- <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 tM If no, see remarks <br /> ' Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : �.70 <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" BK <br /> { 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent d-o o4 Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer _Centrifugal pump <br /> Sampled with: Disposal bailer: Teflon bailer: <br /> Well Diameter: 2" 4"� 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2 . 61 gal/ft.: - <br /> Initial Measurement Recharge Measurement <br /> Time: Time: 1-3 Calculated purge: l.�3. 4 1 <br /> Depth of well: jiq.IC Depth to water• 7,1.69 Actual purge• 484- .4, <br /> Depth to water: u j <br /> Start purge: a-1 y Sampling time: 3 <br /> Time Temp. E.C. pH Turbidity Volume <br /> z 1g �9, /13 43 <br /> a-J-7 67 -71k �� 3 <br /> 2.31 5 <br /> 0106 7.23 <br /> Sample appearance: Lock: <br /> i <br /> Equipment replaced: (Check all, that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> signature: <br />