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DOULOS ENVIRONMENTAL COMPANY SA- _'LING INFORMATION SHEET <br /> Client: Ultramar Sampling Date:_ s <br /> Site: Beacon #474 Project No. : 94-474-01 <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? (:2!!Z) 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" UV12" UV12" EMCO 8" BK <br /> 12" BK 12" DWP 12" 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: X P Teflon bailer: <br /> Well Diameter: 2" 411 6" g�t <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2 . 61 gal/ft. <br /> Initial Measurement Rechar a easurement <br /> Time: 7 - O� _, Time: Calculated purge: ��• /� <br /> Depth of well: S7 ' '7 f Depth to water: • /0 Actual purge: <br /> Depth to water:„• S- ©/ <br /> Start purge:, 7 Sampling time: 3 <br /> Time Temp. E.C. pH Turbidity Volume <br /> Tld - <br /> ! 3 R "7 <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <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 /> 01 <br /> Ci..na�»rat <br />