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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 6 Z 4?`q6 <br /> • Site: Beacon #696 Project No. : 94-696-01 <br /> 2448 West Kettleman Lane Well Designation: MW-314 <br /> Lodi, CA <br /> Is setup of traffic control devices required? YES : hours <br /> Is there standing water in well box? VN AM TO T 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 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: Disposable bailer__� Teflon bailer: <br /> Well Diameter: 2" 4" 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2 .61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> • Time: 1,01) Time: /IS Calculated purge: 3J_•1 <br /> Depth of well: Depth to water: 50.1t6 Actual purge: 5.1.1 'J <br /> Depth to water: `? <br /> Start purge: JL S !q Sampling time: 1/6 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 15 r7� // 7�� I <br /> 7d I <br /> 16 ---�-.. <br /> Sample appearance: 6A2� Lock: � efi�-�f•�., <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: A�4 t, <br />