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DOULOS ENVIRONMENTAI OMPANY Sp LING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: - <br /> Site:, Beacon 1474 Project No. :_94-474-03. <br /> 3440 E. Main Street Well Designation NNE ki <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 Y® If no, see remarks <br /> Is well cap sealed and locked? f�t YES if no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: all UV12" UV12" EMCO 8" BK <br /> 12" BK 12" DWP 1211 CNI 36" CNI they / 1011,,, 4.2%, <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: Disposal bailer:, Teflon bailer: <br /> Well Diameter: 2%1.4 _ 4" 6" 8" <br /> Purge Vol, Multiplier: 0. 16 0.65 1.47 2.61 gal/ft. <br /> . Initial Measurement Recharge Measurement_ <br /> ime: 1103 Time: 11, !;! Calculated purge: <br /> �- <br /> WDepth of well: Depth to water: A0 .65_ Actual purge: <br /> Depth to water: -.Jq Ili <br /> Start purge: f � b °� Sampling time: �/ 1 <br /> Time Temp, E.C. pH Turbidity Volume <br /> 6-7 �--� <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: /. <br />