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DOUL08 ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: yltrgmar Sampling Date: <br /> Site: Project No- :_3A-k96-Q1 <br /> 2448 West gettleman Lane Well Designation: MW- 314 <br /> Lodi. CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? Y Above TOC Below TOC <br /> Is tap of casing cut level? N If no, see remarks <br /> Is well cap sealed and locked? N If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI� 36" CNI her <br /> General condition of wellhead assembly: Excellent o Fair Poor <br /> un ar�ar�wri .. wnir <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:--t— 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: .. 611 Time: 1?311 Calculated purge: -X1.00AJ <br /> Depth of well : i Depth to water: _1717-3 Actual purge: <br /> Depth to water: 51.51 _,_ <br /> Start purge: FIV Sampling time: - 940 <br /> Time Temp. E.C. pH Turbidity volume <br /> 3 O (S& j00 1)30 �.1 2 <br /> X33 6 fr.Z 2± 3 <br /> dN 6 6 7, 7ccl 7.AC y <br /> Sample appearance: Lock: r <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 03753. 7/32 A1lenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />