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:h DOULOS ENVIRONMENTA <br /> OMPANY- SLING INFORMATION SHEET <br /> clientl <br /> • '" Sampling Date: <br /> Site. p� Project No. < L-J <br /> Y ' } Well Designation: A <br /> - .. <br /> 10W 0-0 <br /> Is' seup,-6 9, devices required? O YES time: hours <br /> Is there standing water "" :< <br /> ,� min14* <br /> we1 ,. boxy YES Above TQC Below TOC <br /> 3: tap` of casing cu .eve <br /> M> i . , NO If no, see remarks <br /> Is well",cap sealed and oco-e <br /> • , :. :: NO If no, see remarks <br /> Heightof we = 3n :inches) <br /> Well cover„type S ZN i �W f _ 1211 EMCO Sig BK <br /> 3611 CNI Other <br /> General condition of.':wellheat assembly: Excellent oo Fair Poor <br /> Purging -Equipment _ <br /> 6 <br /> 2" disposable bailer Submersible pump <br /> "CPUC` er Dedicated bailer <br /> bailers Centrifugal pump <br /> Sampled Wath. osa3bailer Teflon bailer: <br /> Wel Diameter:, 2" ., ' ` 4 611 <br /> Sit <br /> • <br /> 'F,c <br /> Purge Vol::,:MultzpT'ier: 0.. .. 0. 65 1.47 2 . 61 gal/ft. ' <br /> � .: <br /> Initial Measurement _ 'Rechar a Measurement v <br /> Time: t u � r: Ti /gCalculated purge: J7irGr.1 <br /> "4 <br /> Depth'' of weITZ T De : <br /> pth to e'rwater: 1.. '� Actual purge: 37 <br /> 7epth to wwater <br /> AN, <br /> Start purger 7.��'•- � Sampling time: <br /> Time" Tem 'E Q`- pH:. . Turbidity Volume <br /> y <br /> �7, Wl <br /> . <br /> .17 <br /> 7 '6 `` ' <br /> � , ,V- �; <br /> `Sample aPpearancei� Lock: <br /> ,.v v � i . <br /> Equipment replaced (Check al tha apply) Note condition of replaced :item <br /> 2'! Locking; Capt' . ack 5753: 7/32 Allenhead <br /> ` 'L - <br /> 4" Locking,,Cap.: l � ��; oc -Dolphin: 9/16 Bolt: <br /> E 6" -LockingyCaps .s : vPinned A1lenhead (DWP) <br /> Remarks: <br /> CD�,,... <br /> �JA <br /> l 1111h <br /> , 8 <br /> F "aK <br /> M wl! <br /> Slam <br /> r <br /> of � .- <br />