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DOULOS ENVIRONMX"Thua COMPANY L APLING INFORMATION SHEET <br /> . Client: Uj_tKamsir Sampling Date: © ` <br /> Site: - .-Beacon #474 Project No. : 94-47A-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? Y Above TOC Below-TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? N E If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" W�_ 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent O'b Fair Poor <br /> Purging Equipment: 2" disposable bailerSubmersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer: Teflon bailer: <br /> 1�1�1411��1 <br /> Well Diameter: 2" 4'r 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Meas rement Recharge Measu a en <br /> Time:_ �O : _ ! Time: i = Calculated purge: 1 p <br /> Depth of well: Depth to water: S yti Actual purge: <br /> Depth to water: c .'S /711 <br /> Start purge: Sampling time: P ; 0 <br /> Time Temp. E. C. PH Turbidity Volume <br /> i <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 />