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DOOLOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> =' Client: VltramAr Sampling Date: - - S <br /> Site: Beacon 1419 Project No. : - _ <br /> 2350 Waterloo Road Well Designation: <br /> Stogkton, CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? NO IS If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : X <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI her <br /> General condition of wellhead assembly: Excellent o Fair 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:, Teflon bailer: <br /> Well Diameter: 2" 4"_ 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0.65 1.47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: 4;.7 Time: .,L, J !_ Calculated purge: ,L,LL <br /> Depth of well: F14.20 Depth to water: K14.11 Actual purge: Jj2 -5� <br /> Depth to water: #;,y.'2 *7 <br /> Start purge: 1-0 Sampling time: 2 uS: <br /> Time Temp. E.C. pH Turbidity Volume <br /> 7.1-6 710 6 72 / <br /> 70,6 q3,3 2/4y <br /> c9. 1./ 717 y <br /> Sample appearance: ;.lr Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 03753: 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: __ <br />