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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION 'SHEET .i" <br /> Client: Ultramar Sampling Date: 3 31`C1g _ <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? YES Above TOC Below TOC <br /> Is top of casing cut level? NO YE 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" UV 12" UV 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI ther <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 /> I <br /> Sampled with: Disposal bailer: X Teflon bailer: <br /> Well Diameter: 211 4" 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2 . 61 gal/ft.: <br /> I Initial Measurement Recharge Measurement <br /> t <br /> Time: 6 L6 Time: 9�_r'LP3 J Calculated purge: i(Y-1 <br /> Depth of well: f b Depth to water: Actual purge: <br /> } <br /> Depth to water: <br /> Start purgeSampling time: <br /> Time Temp. E.C. pH Turbidity Volume <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 /> ' 1 <br /> Signature: <br /> L <br />