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DOULOS ENVIRONMENTAi. COMPANY SziPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: <br /> Site: Beacon #474 Project No. : 94-47401 <br /> 3440 E. Main Street Well Designation:, MW-. 2= <br /> Stockton 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 If no, see remarks <br /> is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : _ 3 <br /> Well cover type: 8" UV12" UV 12" EMCO 811 <br /> 12" BK 12" DWP 12" CNI 36" CNI Other 1,? C� <br /> General condition of wellhead assembly: Excellent ;! oo Fair Poor <br /> Purging Equipment: 2" disposable bailer _��ubmersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer: Teflon bailer: <br /> Well Diameter: 2" 411 611 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: t Time: Calculated purge:_g g ' <br /> Depth of well : �� ' � y Depth to water: �~ Actual purge: <br /> Depth to water: S <br /> Start purge: � � ` S Sampling time: <br /> Time Temp. E. C. pH Turbidity Volume <br /> Sro 7V r <br /> to <br /> ff <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note conditioli of replaced item <br /> 21". Locking Cap:._-.- Lock #3753 : 7/32 Allenhead:�=� <br /> 4" ticking Cap: Lock-Dolphin : 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: ' <br />