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DOULOS ENVIRONMENTA.i COMPANY IDLING INFORMATION SHEET <br /> Na L— <br /> Client: t a a Sampling Date: 8-30 - 1 <br /> Site: EgAgon 1474Project No. : 94-474-01 <br /> 3440 E. Main Street Well Designation: MW- 3 <br /> Stockton, C <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 if no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : - <br /> Well cover type: 8" W 12't 'LTV_>L ~12" EMCO 8" BK <br /> 12" BK 12" DWP 1211 CNI 36" CNi Other <br /> General condition of wellhead assembly: Excellent o Fair Poor <br /> Purging Equipment: 2" disposable bailer Z,.-Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer p Centrifugal pump <br /> Sampled with: Disposal bailer: �1 Teflon bailer: <br /> Well Diameter: 2" 4 6" 811 <br /> • Purge Vol. Multiplier: 0. 16 0. 65 1.47 2. 61 gal/ft. <br /> Initial Measurement Recharge Measu ement <br /> Time: Time: 1 = Calculated purge: �`� <br /> Depth of well : � � Depth to waterActual purge: <br /> Depth to water: _- <br /> Start purge: l `_1 Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> r <br /> Sample appearance: Lock: <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 />