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` DOULOS ENVIRONMENTAL .OMPANY SAI SING INFORMATION SHEET <br /> (4 <br /> Client: Ultramar Diamond Shamrock Sampling Date: <br /> Z 19 <br /> Site: Beacon 641 Project No. : 98-641-01 <br /> 1210 East Hammer Lane Well Designation: <br /> Stockton CA <br /> hours <br /> Is setup of traffic control del box?requ�red? YES Above.TOC Below TOC <br /> Is there standing water in well box. IF qB If no, see remarks <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and <br /> locked?Is 4 <br /> Height of well casing riser (in inches) : 12,+ EMCO _ 8" BK <br /> Well cover type: 8" UV 12 UVOther 12" BK 12" DWP W, CNI x 36" CNI Fair Poor <br /> General condition of wellheadZassembly. Excellent Oth <br /> 2" disposable bailer x Submersible pump <br /> Purging Equipment: 2,+ PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: <br /> Teflon bailer: <br /> Well Diameter: 2" 4" 611 Su <br /> 0.65 1.47 2 . 61 gal/ft. <br /> Purge Vol. Multiplier: 0' 16 Recharge Measurement <br /> an i tt ' al Meas�ent Calculated purge' 7 9 <br /> Time: 4 i Time: � O Actual purge: q , o I <br /> Depth of well• 3 b 7 Depth to water: N•Z <br /> Depth to water• <br /> Start purge: L10 Sampling time: <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> Lock #3753 :— 7/32 Allenhead: <br /> 2" Locking cap: � 9/16 Bolt: <br /> 4" Locking Cap: Lock-❑olphi.n:_ pinned Allenhead (DWP) : <br /> 6" Locking Cap: <br />• Remarks: <br /> Signature: �'! <br />