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DOUL08 ENVIRONMENTAL -'OMPANY SAI -,ING INFORMATION SHEET <br /> Client: Ultramar — Sampling Date: ) I- - <br /> Site:—Beacon-#419 <br /> 2 ~Site: Beacon #419 Project No. : 94-419-91 <br /> 2350 WaterIgg Road Well Designation: MW- <br /> __Stockton, CA <br /> Is setup of traffic control devices required? ofiT> YES time: hours <br /> Is there standing water in well box? MW 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 f no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" BK <br /> 12" BK 1 12" DWP 12" CNI 36" CNI Other 2 ii�O�Eca <br /> General condition of wellhead assembly: Excellent oo 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: Disposable 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 Reqharge Measurement r <br /> Time; : Time: V Calculated purge: � - <br /> Depth of well : btr - 417 Depth to water: -dr ' 4 Actual purge: - <br /> Depth to water: 7 �� <br /> Start purge: C 3 7 Sampling time: ef Y o <br /> Time Temp. E.C. pH Turbidity Volume <br /> 7 , yo <br /> o ,7 /5' r 7 -3S' W <br /> 60 62- 7 - 3&-) 3 <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 />