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DOULOS ENVIRONMENTA._ COMPANY S� SLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: <br /> • Site:_ Beacon -#4-74 Project No. : 94-474-01 <br /> 3440 E. Main Street__. Well Designation: MW-- <br /> Stockton. CA <br /> Is setup of traffic control devices required? N 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 If no, see remarks <br /> Height of well casing riser (in inches) : _ 3 <br /> Well cover type: 8" U " U <br /> V 12V�_ 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent < o Fair Poor <br /> Purging Equipment: 2" disposable bailer _.Submersible pump <br /> 21' PVC bailer Dedicated bailer <br /> 4" PVC bailer �7 Centrifugal pump <br /> Sampled with: Disposal bailer: ,57 Teflon bailer: <br /> Well Diameter: 2" 4",?LL— 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0.65 1.47 2 . 61. gal/ft. <br /> Initial Measurement Rechar e easurement Time: ' Z { Time: Calculated purge::�_'`T'L <br /> 1 <br /> Depth of well: q IP , Depth to water: (p Actual purge:2�4. G� <br /> Depth to water: <br /> Start purge: /0 - 069 Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> Sample appearance: Lock: <br /> _Equipment replaced: _(Check all that apply) Note condition of replaced_ item___T! <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 /> Signature: <br />