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DOUL08 ENVIRONMENTAL .OMPANY SW ,ING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: /Z <br /> Site: Beacon 641 Project No. : 98-641-0 <br /> 1210 East Hammer Lane Well Designation: <br /> Uw — <br /> Stockton CA <br /> is setup of traffic control devices7required? YES Above. hours <br /> TOC Below TOC <br /> Is there standing water in well box. If no, see remarks <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO <br /> Height of well casing riser (in inches) : 121 EMCO 8" SKS <br /> Well cover type: 8" UV" _- 12 36++ CNI theFair Poor <br /> r <br /> 12BK 12" DWP. ).4 "1 c�CNI do <br /> General condition of welihead2 �ssembly: Excellent <br /> a <br /> 2" disposable bailer Submersible pump <br /> Purging Equipment: 2„ PVC bailer _ Dedicated bailer <br /> 411 PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: <br /> -IL Teflon bailer: <br /> Well Diameter: 2" X 4„ 611 all <br /> 0. 65 1. 47 2 . 61 gal/ft. <br /> Purge Vol. Multiplier: 0. 16 (0, 0 <br /> InitLa Measurement Recharge Measureme tCalculated purge: <br /> Time: - <br /> Time:-. - 2- D <br /> (o De th to water: 3 Actual purge <br /> Depth of well: P <br /> Depth to water: u- Z Z <br /> Start purge: <br /> = j 3 Sampling time: <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> ti <br /> Sample appearance . Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> „ Lock-Dolphin• 9/16 Bolt: <br /> 4 Lacking Cap: pinned Allenhead (DWP) : <br /> 6" Locking Cap: <br /> Remarks: <br /> Signature: <br />