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i` <br /> DOULOS ENVIRONMENTA 'OMPANY SP"pLING INFORMATION SHEET <br /> Sampling Date: <br /> Client: Ultramar <br /> Site: Beacon 8474 Project No. : 94-474-01 <br /> 3440 E. Main Street <br /> Well Designation: - <br /> Stockton CA <br /> hours <br /> Is setup of traffic control devicesrequired? YES ES time.TOC Below TOC <br /> Is there standing water in well box'. NO if no, see remarks <br /> Is top of casing cut level? If no, see remarks <br /> Is well cap sealed and locked? No E <br /> Height of well casing riser (in inches) : <br /> ✓✓ 12„ EMCO�.,_ 8° BK <br /> Well cover type: $" UV �� 12 j--Z36a CNI Other <br /> 12" BK_ 12" DWP��_ 12 CNI_� Fair - Poor <br /> General condition of wellhead assembly: Excellent <br /> 2" disposable bailerSubmersiblepump <br /> Purging Equipment: 2" pVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer: <br /> f"o Teflon bailer: <br /> Well Diameter: 2" 401, <br /> 6tt 8 <br /> 0. 65 1.47 2 . 61 gal/ft. <br /> Purge Vol. Multiplier: 0. 16 / <br /> Initial Measurement <br /> Rech a e� Measu a tCalculated purge: <br /> Time: Time: p Actual purge: <br /> Depth Of <br /> well: 77- / 7 Depth to water: <br /> Depth to water: SS• c 7 <br /> Start purge:-2-L- 1 0 Sampling <br /> time: 'Lo <br /> Time Temp. <br /> E.C. pH Turbidity volume <br /> '= '1 S G r s a 7 - 70 <br /> G _ ► ti ��'_ l�/� 7425 <br /> Sample appearance: ' Lock: <br /> Equipment replaced: on <br /> check all -that Note_ cdition�of replaced item <br /> Lock #3753: 7/32 A1lenhead: <br /> 2" Locking Cap: _ Lock-Dolphin: 9/16 Bolt: <br /> 4" Locking Cap: pinned Allenhead (DWP) : <br /> 6" Locking Cap: . <br /> Remarks: <br /> Signature: <br />