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DOULOSsEM-2RQNWQ.NTAL INC. SAMPLING INFORl1 ATfON SHEET <br /> Client: Environeerin ,Inc. <br /> Sampluig Date- <br /> OL <br /> Site Califomia Tank Lines Pro ct No <br /> 3I05 S EI,Dorado Street Well Desigtlahon' '� <br /> Stockton, CA <br /> Is setup of traffic control devices regwued? YES <br /> time hours <br /> Is there standmg water in the well box? NO AboveTOC 13efaw TOC <br /> Is top of casing cut level? N© If no,see renwks <br /> Is well cap sealed and iockcV ;�5 NO if no,see remarkx <br /> Height of well casmg user(in inches) f <br /> Well cover type 8"-or 12"W 12"EMCO 8"or 12"BK 8"Cbristy <br /> 12"Christy &,,M&D 12"M&D 12"DWT <br /> 12"CM 36"CMI 12"Pomew Otlier <br /> General condition of wellhead assembly Excellent Good _ Fair Poor <br /> Purging Equipment 2"disposable bailer Submersible pump <br /> 2"PVC bailer Dedicated bailer <br /> 4"PVC bafler Centrifugal pump <br /> Sampled with- Disposable bailer , Teflon bailer Disposable Tubing _ <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier.- 016 065 147 2 61 gal/ft <br /> Initial Measurement Rechar e Measurement <br /> Tinge %" Z4 Twine: 16: ea Calculated purge '� <br /> Depth of wellI c , Depth to wafer. Actual purge- Z <br /> Depth to water. 7 9 <br /> Startpurge. r Sarnplmg tune /46 <br /> 'Tune Temperature EC 2H Turbidi Volume <br /> Sample appearance' &aZ IC Lock. a <br /> Equipment replaced (check all that apply) Note condition of replaced iteni(s) <br /> 2"Locking Cap Lock. 7/32 Allenhead <br /> 4"Locking Cap- Lock-Dolphin= 9/16 Bolt <br /> 6"Locking Cap: Pinned Nlenhead(DWP) <br /> Remarks A.- ,lis r <br /> SignatNefic <br />