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• :yr, Vii` - 4� -" - .- <br /> DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION '-SHEET``' <br /> �. Client: Ultramar Sampling Date: <br /> ,. Site: Beacon #474 Project No. : 94-474-01 <br /> 3440 E. Main Street Well Designation: MW- /A <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? N If no, see remarks <br /> Is well cap sealed and locked? 3 Ug If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV 12" EMC4 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other/2- <br /> General condition of wellhead assembly: Excellentoo Fair Poor <br /> Purging Equipment: 2" disposable bailer Y Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer: Teflon bailer: <br /> Well Diameter: 2"`.:-3(' 4" 611 8 tf <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.. 47 2 . 61. gal/ft: <br /> Initial Measurement Recharge Measurement Q��_ � <br /> Time: 0-2 Time: Calculated purge _ . <br /> Depth of well: 7 ,51 Depth to water: C� Actual purge: <br /> Depth to water: EI-Ifl <br /> Start purge: �6�-q Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> Sia L �4-1 7 z <br /> s <br /> Sample appearance: C,&.., Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> k 4" Locking Cap: Lock--Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />