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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: U t am Sampling Date: 3 <br /> Site: ReAcon <br /> Project No. : 94-419=9.L-- <br /> 2350 <br /> 4-419=9.L _2 5 Watgrigo Road well Designation: mw- <br /> Stockton CA <br /> hours <br /> Is setup of traffic control devicesrequired' YES ES tiro e•TOC Below TOC <br /> Is there standing water in well box., NO fg If no, see remarks <br /> Is top of casing cut level? if no, see remarks <br /> Is well cap sealed and locked. NO 3 <br /> Height of well casing riser (in inches) : <br /> 12" EMCO 'i <br /> Well cover type: DWP UV 12" CNI 36" CNIr, other_ / <br /> BSG 4 <br /> 12 BK Fair Poor <br /> General condition of wellhead assembly: Excellent <br /> 2" disposable bailer �C__Submersible pump <br /> Purging Equipment: 211 pVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: <br /> Tr Teflon bailer: <br /> Well Diameter: 2"_. 4 <br /> n 611 811 <br /> Purge Vol. Multiplier: 0 . 16 0. 65 1.47 2 . 61 gal/ft. <br /> easu ement Recha Measurement Calculated purge: <br /> Time: Time: J l0 Actual purge: <br /> Depth of well. �S 'Z Y Depth to water: <br /> Depth to water: <br /> Start purge: <br /> S O Sampling time:--2-1 <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> --------------- <br /> o-- <br /> ------------ <br /> '' b <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <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 />