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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: ��•9.�_ <br /> Site: Beacon 1610 Project No. : 94-610-01 <br /> 3300 Waterloo .Road Well Designation: MW-6 <br /> Stockton CA <br /> Is setup of traffic control devices required? YES time: ball s <br /> Is there standing water in well box? Above TOC owT <br /> Is top of casing cut level? NO If no, see remar s <br /> Is well cap sealed and locked? NO I€ no, see remarks <br /> Height of well casing riser (in inches) : J 9 <br /> Well cover type: 8" W 12" W 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other_11 General condition condition of wellhead assembly: Excellent ood 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: Disposal bailer: Teflon bailer: <br /> Well Diameter: 2" 4" 6" 811 <br /> Purge Vol. Multiplier: 0. 16 0, 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement p <br /> Time: e.LT Time: //0-5 Calculated purge: 9t.'71001 <br /> Depth of well. f11, 147 Depth to water: tG.20 Actual purge: 7 <br /> Depth to water: ./-L <br /> Start purge: Sampling time: //30 <br /> Time Temp. E.C. pH Turbidity Volume <br /> Olt) f 0 tki <br /> jozQ 74. 72-7 <br /> Id 37� 6 �1 6l.�J 1 -------------------- <br /> I D�b 6 9 � 6�.•� 7/ <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />