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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 3 -2-f-Tcf <br /> Site: Beacon #610 Project No. : 94-610-01 <br /> 3300 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? t0ffl2> YES Above TOC Below TOC <br /> Is top of casing cut level? NOIf 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_ I Zq AFenc-'CO <br /> General condition of wellhead assembly: Excellent �F ] Fair Poor <br /> Purging Equipment: 2" disposable bailer _ >e--Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer. S p Teflon bailer: <br /> Well Diameter: 211 4" 6t' 8" <br /> Purge Vol. Multiplier: 0. 16 0.. 66555 1.47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: :O Time: Calculated purge: <br /> Depth of well: 8�•3 Depth to wateActual purge: 135.6 <br /> Depth to water: 7- L17 <br /> Start purge: S Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> Ll 1G 6 0 -? • rz I <br /> 5T o -7-10 - <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 /> Remarks: <br /> Signature: <br />