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DOULOS ENVIRONMENTAL INC. SAMPLING INFORMATION SHEET <br /> Client Environeerlllg, Inc. Sampling Date- P"-/ -2' <br /> 35 of 61 <br /> Site California Tank Lines Project No <br /> 3105 S El Dorado Street Well Designation, <br /> Stockton, CA <br /> Is setup of traffic control devices requued9 YES tune hours <br /> Is there standing water in the well box? 99 W Above TOC 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"or 12"W 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Chnsty 8"M&D 12' M&D 12"DWP <br /> 12"CNI 36"CNI 12" orneco Other __ Ylret. <br /> General condition of wellhead assembly E reellent Good.- ,*e Fair Poor <br /> Purging Equipment, 2" lsposable bailer Submersible pump <br /> 2"PVC bailer Dedicated bailer <br /> 4"IVC bailer Centrifugal pump <br /> Sampled with Disposable bailer Teflon bailer bisposable Tubing__ <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier 0 065 147 2 61 gallft <br /> Initial Measurement Rechar a Measurement <br /> Time, r Time =O Y Calculated purge ' <br /> Depth of well . rr Depth to water- Actual purge- <br /> Depth to water. , (R <br /> Start purge Sampling tune r C) <br /> Time Temperature E.C. pH TurhiqLty Volume <br /> . 2 <br /> Sample appearance Lock- <br /> Equipment replaced (check all that apply) Note condition of replaced it 'i(s) <br /> 2"Locking Cap. Lock 7/32 Allenhead <br /> 4"Locking Cap, Lock-Dolphin 9/16 Bolt <br /> 6"Locking Cap Pinned Allenhead(DWP)- <br /> Remarks {r r,/ <br /> Signature. <br />