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DOULOS ENVIRONMENTAi JOMPANY S2 '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, <br /> -Stockton CA <br /> Is setup of traffic control devices required? � YES time: hours <br /> Is there standing water in well box? (�:M S 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) : 3. <br /> Well cover type: 8" W 1211 UV12" EMCO 811 BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other pa"17c <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:-.!—;-e Teflon bailer: <br /> Well Diameter: 211 410 6" 8i1 <br /> Purge Vol. Multiplier: 0. 16 _ 0.65 1_. 47 2.61 gal/ft. <br /> initial Measurement Recharge Measurement 7 <br /> Time: J : 0 o Time: /0 :0 A— Calculated purge: <br /> Depth of well: go ` y Depth to water: ` 47 Actua 1 purge:� 7• ?_ . <br /> Depth to water: S <br /> Start purge: r ' _� sampling time* <br /> Time Temp. E.C. pH Turbidity Volume <br /> cl. lO 67•r i2Ia 7 . 7 Y -- — % <br /> � :ti c 6 7 3 /1 ,70 -7 �- <br /> q : Sl �S . 1/ 20 74-2 -r~ <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced tem— <br /> 2" Locking Cap: Lock 13753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />