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DOQL08 ENVIRONMENTAL )DMPANY SA LING INFORMATION SHEET <br /> Client:-- Ultramar Sampling Date: <br /> Site: Beacgn #419 Project No. :_94-419 01 <br /> 2350 Waterloo Road, 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? 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 <br /> If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 81' UV12" UV1211 EMCO_ X 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI her <br /> General condition of wellhead assembly: Excellento Fair Poor <br /> Purging Equipment: 2" disposable bailer X' Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bai ler: Teflon bailer: <br /> Well Diameter: 2" 4" x 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0.65 1. 47 2 . 61 gal/ft. <br /> Xnitial easu eme t Rechar a Measurement 1t b a r <br /> Time: Time: 10 = A2_ O Calculated purge: <br /> Depth of we 11,: ` "L+ Depth to water: Actua 1 purge:_1 i h a <br /> Depth to water: L-- 0 , b `4 <br /> Start purge: q= 59 Sampling time: 10 ; '!.3 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 10 Or -7 t Z -7 . 36o — - - 1 <br /> 10 . !o2- <br /> ►0 . 15 to t T7 <br /> 10 : o <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 /> C-0r.r ��-giro. � •,� / <br />