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DSAIyrLING INFORMATION SHEET <br /> OULoS ENVIRONMENTAL COMPANY <br /> Client: Ultramar Sampling Date% <br /> Site: Beacon 1474 Project No. : 94-474-01-.- <br /> 3440 E. Main Street Well Designation: MW-- <br /> Stockton CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well. box? ft Y 5 Above TOC Below TOC <br /> E <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NQ If no, see remarks <br /> Height of well casing riser (in inches) : 1211 EMCO Bit BK <br /> Well cover type: 8" UV 1219 W then <br /> 12" BK 12" DWP 12" CNI 36" CNI_ 1 �'"` <br /> General condition of wellhead assembly: Excellent Looct 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: Disposal 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 /> 't easu ement Rechar a Measurement CI .J <br /> Time• � .4C� __ Time: 7-- Calculated purge: <br /> J L� Actual purge: 6 <br /> Depth -of well: �-•� u Depth to water: C g --L--- <br /> Depth to water: 7 <br /> Start purge: !1 L/ 3 _ Sampling time: <br /> Time <br /> ime:Time Temp. E.C. pH Turbidity Volume <br /> / 341 73 1 <br /> 7 l, u <br /> ! y-5 73 j <br /> 3 <br /> �.5 -7 /. a 13-61 713 <br /> r� 3 <br /> 71 . 1 1.2-5 I� <br /> A <br /> Sample appearance: 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: 9116 Bolt: _ <br /> 6" Locking Cap: Pinned Allenhead (DWP) :,_ <br /> Remarks: <br /> signature: <br />