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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION 'SHEET <br /> Client: Ultramar Sampling Date: 3`31"y„ <br /> Site:_ Beacon #474_ Project No. : 94-474-01 <br /> 3440E. 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? If no, see remarks <br /> Is well cap sealed and locked? NO ig If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other!L iA�, era <br /> General condition of wellhead assembly: Excellent goo 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: Teflon bailer: <br /> Well Diameter: 2" 4" .X 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2 . 61 gal/ft. <br /> . Initial Measurement Recharge Measurement �O <br /> Time: C 143 Time: 16 .11 Calculated purge: <br /> Depth of well: k 7 Depth to water. 6 ! I Actual purge: <br /> Depth to water: 9 I. U 5 <br /> Start purge: q 5-Z Sampling time: f b n-_ <br /> Time Temp. E.C. pH Turbidity Volume <br /> qS q <br /> I o 03 !; <br /> �f <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />