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DOUL S ENVIRONMENTAL INC. SAMPLING INFORMATION SHEET <br /> • Client Environeerm ,Inc. Sampling Date• <br /> 37 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 required? YES k' time hours <br /> Is there standing water m the well box? s Above TOC Below TOC <br /> Is top of casing cut level? NO , If no,see remarks <br /> Is well cap scaled and locked? J NO If no,see remarks <br /> Height of well casing riser(nn inches) <br /> Well cover type 8"or 12"W 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy 8"M&D 12"M&D 12"DWP <br /> ..-- <br /> 12"CNI 36"CNI 12"Pomeco <br /> General condntno�of wellhead assembly Excellent Gogo pair Poor <br /> Purging Equipment- 2"disposable barter Submersible pump <br /> 2"PVC bailer Dedicated bailer <br /> 4"PVC bailer Centrifugal pump <br /> Sampled with; Disposable bailer Teflon bailer Disposable Tubing_ <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier 0 16 065 1.47 2.61 gal/ft. <br /> Initial Measurement Rechar a Measurement �. 2. <br /> Time. /D s IVO Tune. • p, Calculated purge. <br /> Depth of welt- -" Depth to watActual purge <br /> Depth to water <br /> Start purge-"--// 'l Sampling time Z• <br /> } <br /> Tune Temperature E.C. pH Turbidity Volume <br /> Sample appearance Lock <br /> Equipment replaced (check all that apply) Note condition of replaced itern(s) <br /> 2"Locking Cap Lock 7/32 Allephead- <br /> 4"Locking Cap Lock-Dolphin ° 9116 Bolt <br /> 6"Locking Cap Punned Allenhead(DWP). <br /> w <br /> Remarks Fx <br /> Y <br /> Signature. <br /> 4 <br />