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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> 7 - <br /> Client:--Ultramar Sampling Date: <br /> Site: Beacon 14_11-- Project No. : 94-419-0 <br /> 2350 Waterloo Road 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? 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) : 12" EMCo g" K...�— <br /> Well cover type: 8" UV— 12" UVB 2 0 X F-c 0 <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent c2E50 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: Disposable bailer. '5r"a Teflon bailer: <br /> Well Diameter: 2" 41,�. 611 Bit <br /> 61 gal/ft. <br /> 2. <br /> Purge Vol. Multiplier: 0. 16 0.65 1. V <br /> easu e e t lRecharge s <br /> Meaurement alculated purge: <br /> Time ' S G0 d�� YI Time: O C <br /> L Actual purge <br /> Depth of well: Depth to water: 3' <br /> Depth to water: <br /> Start purge: Sampling time:_ 10 ' (t <br /> Time Temp. E.C. pH Turbidity Volume <br /> D;a 30 - V I3 � 7 • �/ �- 2 <br /> 3 <br /> Sample appearance: �i/v 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 />