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f Tj <br /> DOULOS ENVIRONMENTA `OMPANY Sp"LING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: <br /> Site: Beacon t474 Project No. :-94-474-01 <br /> 3440 E. Main Street Well Designation: MW- <br /> Stockton CA <br /> Is setup of traffic control devices required? , _-. <br /> YES time: hours <br /> Is there standing water in well box? .NO YES Above TOC Below TOC <br /> Is top of casing cut level? NOIf no, see remarks <br /> IZOIs well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : 12" EMCO g" BK� <br /> Well cover type: 8" UV1211 W--� <br /> 12" BK 12" DWP12" CNI 36" CNI other <br /> General condition of wellhead assembly: Excellent 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: JrP Teflon bailer: <br /> 4" 611----- Sol_ <br /> Well Diameter: 2"� ' <br /> Purge Vol. Multiplier: 0. 16 0. 6Measure1.47 2 .61 gal/ft. <br /> ' Ment <br /> tial Measurement ec <br /> Time: O Time: _ Q Calculated purge: <br /> Depth-of well: y �� Depth to w� a^ter: 7 8 Actual purge: <br /> Depth to water: . 7 <br /> Start purge: <br /> Sampling time: 7 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 2 �Z 7 . 3 <br /> 7 : c�p lS'. 1 'Z, 0 -7 , 2 <br /> n,_ <br /> Lock: <br /> Sample appearance: <br />