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DOULOS ENVIRONMENTAL COMPANY �Ad►._ . 1Nc� liv r Uru" 11UN 5ti��t <br /> Client: Ultramar Sampling Date: <br /> Site: geaeon 1419 Project No. :_94•-419-01 <br /> 2350 Waterloo Road Well Designation: MW_ <br /> Stockton, CA <br /> Is setup of traffic control devices required? E�M YES time: hours <br /> Is there standing water in well box? (:"]� YES Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO 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 <br /> General condition of wellhead assembly: Excellent 05isb Fair Poor <br /> Purging Equipment: 2" disposable bailer �L Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: f� Teflon bailer: <br /> Well Diameter: 2" 4" X- 6+1 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2. 61 gal/ft. <br /> initial Negsurement Recharge su e t �9 q <br /> Time: o <br /> Time: I = 3 ! Calculated purge: <br /> S Depth of well: 7 Depth to water: y Actual purge:�- <br /> --- <br /> Depth to water: • 7 <br /> Start purge: 110 Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> T t 3 /&--' • � l 11 -? I <br /> T- 27 � J 7- `Ar 3 <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 /> 46 Remarks: <br /> Signature: <br />