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C ..iv <br /> DOULOS ENVIRONMENTAL COMPANY` , . SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 3"3 ..99 <br /> Site:� Beacon #474 -.-, Project No. : 94-474=01 <br /> { <br /> 3440 E. Main Street Well Designation:_ MWT 7 <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) : <br /> Well cover type: 8" W 121' W_14 _ 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI other <br /> General condition of wellhead assembly: Excellent Goo 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 /> Initial Measurement Recharge Measurement <br /> Time• C4 _ Time: Calculated purge: 9' <br /> Depth of well: Depth to water: 6Actual purge: E1 <br /> Depth to water: 61,7 S <br /> Start purge:J'Zi S Sampling time: LOS <br /> Time Temp. E.C. pH Turbidity Volume <br /> 756 <br /> 7�7 6 fz I � 1�1 2 <br /> Sample appearance: cLock: <br /> e <br /> Equipment replaced. (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 411 Locking Cap: Lock--Dolphin: 9/16 Bolt: <br /> 6�r Locking Cap: Pinned Allenhead (DWP <br /> ) : <br /> Remarks: <br />{ r. <br /> iature: <br />