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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client:—Ultramar Sampling Date, <br /> Site:—Beacon 9 Project No. : 4-419-01 <br /> 2350 Waterloo Road Well Designation: MW- <br /> Stockton CA <br /> Is setup of traffic control devices required. <br /> YES time: hours <br /> Is there standing water in well box? 4TO> YES Above TOC Below TOC <br /> If no, see remarks <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO <br /> Height of well casing riser (in inches) : ,� <br /> �+ 12" EMCO_,_ < 8 BK <br /> Well cover type: 8" UV_ 12 UV 36n CNI _ Other <br /> 12" BK 12" DWP— 12 CNI Fair Poor <br /> General condition of wellhead assembly: Excellent <br /> purging Equipment: 2" disposable bailer �Submersible pump <br /> Dedicated bailer <br /> 4" PVC bailer <br /> ^2" PVC bailer ��Centrifugal pump <br /> Sampled with: Disposable bailer:_!�7z_ <br /> Teflon bailer: <br /> n 1y 61+ 8 n <br /> Well Diameter: 2" 4 <br /> 0.6g 1. 47 2. 61 gal/ft. <br /> Purge Vol. Multiplier: 0. 16 echa a Measu ement L <br /> InitiAl Measurement Calculated purge. <br /> Time: / Time: <br /> 8S ZS' Depth to water: y2 _ '�a Actual purge: 1 <br /> Depth of well: P <br /> Depth to water: r � <br /> Start purge: <br /> ' Sampling time: Z ' 3 — <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> 2a 7 • r r ,;5 I -7 . y/ -� <br /> ? -70 -7 -33 Z <br /> Ll <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 03753 :,17/32 Allenhead:_ <br /> " Locking Cap: .^_. Lock-Dolphin: 9/16 Bolt: <br /> 4 <br /> 4" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> �,� ,/,1_� . <br />