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DOULOS ENVIRONMENTAL, INC. SAMPLING INFORMATION SHEET <br /> Client _ Ultramar, Inc Sampling Date ©f <br /> Site Beacon-64T _3&q _ Project No 94-641-01 <br /> 1210 E Hammer Lane Well Designation tl GCS — S <br /> Stockton CA <br /> Is setup of traffic control devices required? YES tune hours <br /> Is there standing water to the well box? YES Above TOC Below TOC <br /> Is top of casing cut levels NO If no,see remarks <br /> Is well cap sealed and locked? +/ O NO If no, see remarks <br /> Height of well casing riser(in inches) <br /> �A ell cc%er type 8 'or 12"UV 12" EMCO 8"or 12"BK 8" Christy <br /> 12 Christy 8"M&D 12" M&D 12"DWP <br /> 12 'CNI &1_ 12"Pomeco Other <br /> General condition a w ad assembly Excellent Good Fats Poor <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__X,� _ Teflon bailer 'Disposable Tubing <br /> Well Diameter 2" K 4" 6" 8" <br /> Purge Vol Multiplier 0 16 065 1 47 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time G ' pTime to . 00 Calculated purge 2- <br /> � S <br /> epth of well b 7 3 Depth to water d Actual purge • �_ <br /> Depth to water - <br /> Start purge S 3 Sampling time d ' <br /> Time Temperature E C pH Turbidity Volume <br /> rsLy 7 <br /> : SS 7r 7 - 33 2- <br /> � ' S'S 7. 3 ( 3 <br /> Sample appearance Lock <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2" Locking Cap Lock 7/32 Allenhead <br /> 4" Locking Cap Lock-Dolphin 9116 Bolt <br /> 6" Locking Cap Pinned Allenhead (DWP) <br /> �emarks <br /> Signature <br />