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i <br /> DOULOS ENVIRONMENTAL, INC. SAMPLING INFqit1yIATION SHEET <br /> Client: ltramar - <br /> Sampling Date; <br /> Site: Beacon #3641 Project No : <br /> 1210 B.Hammer Lane-r Well Designatiori: t/W <br /> Stockton Ca, j <br /> ' I <br /> i <br /> i <br /> Is setup of traffic control devices requircd? YES time. ;hours <br /> Is there standing water in the well box? YE Above TOC Below TOC <br /> Is top of casing out level? 0 If no, see remark <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"UV 12" EMCO 8"or 12"BK 8" Christy <br /> 12"Christy. 8"M&D 12"M&D 12"D" <br /> �t 1 36"CNI 12"Pomeco Other: i <br /> 0012 al con 4 n.of wellhead gss.cmbly: Excellent Qood Tair 1Qoor <br /> —�_� . •. <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2"PVC bailer. D4dicated bailer <br /> 4"PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer Teflon bailer <br /> .Disposable Tubing_` <br /> Well Diameter: 2" 4" 6�� $;, <br /> Purge Vol, Multiplier: 0.16. 0.65 1.47 <br /> 2,61 gal/ft. <br /> Initial Measurement <br /> Recharge Measurement <br /> Time: 2 Time: = 3 Calculated purge: 2 <br /> Depth of well: / • S Depth to water: }�2� • OOL <br /> - Depth to water: y 7. / AetuI purge: s <br /> r <br /> Start purge: 2 S Sampling time: 2 <br /> Time Tern erature E.C. H . Turbidi.. <br /> 72 3 6 �� Volume <br /> 7 . 6 2 ; r , <br /> 72- <br /> H• b � tj o �, r� <br /> i� fq <br /> Sample appearance: --- Lock; 11,11,1 00i <br /> Equipment replaced: (check all that apply) Note condition of repfae�d item(s) <br /> 2"Locking Cap: Lock: _ 7/32 Allenhead: ' <br /> 4"Locking Cap; Lock-Dolphin: 9 ,I6 Bolt: k <br /> 6"Locking-Cap; Pinned Allenhead (D"): - E <br /> Remarks: <br /> Signature: <br /> P <br />