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'DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: -7 — 2_ 2_9 <br /> Site: Beacon #419 Project No. : 94-419-01 <br /> 2350 Waterloo Road Well Designation:lMW- <br /> Stockton CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? N _X�ES Above TOC Below TOC <br /> Is top of casing cut level? NO (yam If no, see remarks <br /> Is well cap sealed and locked' NO If no, see remarks <br /> Height of well casing riser (in inches) : 2- 4 <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 oo 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: Y Teflon bailer: <br /> Well Diameter: 2" 41")—( - 611 8" <br /> Purge Vol. Multiplier: 0 . 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: q ', 1 Time: I Z l b Calculated purge: 10 q , oho d <br /> Depth of well: g �-3 Depth to water: '7 , b 9 Actual purge: b 9 $ ga <br /> Depth to water: 5 7 , 3 5 <br /> Start purge: 1 Z- Sampling time: 1 '2- <br /> Time <br /> 2Time Temp. E. C. pH Turbidity Volume <br /> I 574 �R S H4 Z- f 7? ---- 3 <br /> Sample appearance: G _ Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 211 Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 411 Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: �7 Pinned Allenhead (DWP) : <br /> Remarks: Vv1 L <br /> Signature: '� �_ <br />