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3, Li <br /> DOULOS ENVIRONMENTAL COMPANY SAM_ ,ING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: <br /> __l - R <br /> site: Beacon #641 Project No. : 98-641-01 <br /> 1210 East Hammer Lane Well Designation: <br /> tAf <br /> Stockton CA <br /> hours <br /> Is setup of traff 1c control devices'required? YES Above TOC Below TOC <br /> Is there standing water in well box. If no, see remarks <br /> Is top of casing cut level? � NOO g If no, see remarks <br /> Is well cap sealed and locked. <br /> Height of well casing riser (in inches) : 12" EMCO 8" BK_ <br /> Well cover type: 8" UV— 12 UV — „ Other <br /> 12" BK 12" DWP lssrr 36 CNI Fair Poor <br /> General condition of wellh ad embly: Excellent <br /> Submersible pump <br /> Purging Equipment: 2" _ <br /> disposable bailer Dedicated bailer <br /> 2" PVC bailer Centrifugal. pump <br /> 4" PVC bailer <br /> Sampled with; Disposable bailer: Teflon bailer:.._ <br /> Well Diameter: 211 <br /> 411, 6" 811 <br /> Purge Vol. Multiplier: 0. 16 . <br /> 0.65 1.47 2 . 61 gal/ft. <br /> initial easuremeechar a Measurement <br /> t�t calculated purge: <br /> 4 Time: ' 3 ep <br /> Time: purge: <br /> 7s Depth to water: Actual p e. <br /> g <br /> Depth of well• P <br /> Depth to water: <br /> Sampling time• <br /> Start purge: • 3 <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> T 15 6�`- / / v -7 r f <br /> 7� -7 6 X90 7 3 <br /> orl <br /> Sample appearance: <br /> Lock: r <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 13753 :-- 7/32 Allenhead:�� <br /> 4" Locking Cap: _ Lock-Dolphin: r 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />