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130ULOS ENVIRONMENTAL )OMPANY SA LING INFORMATION SHEET <br /> Client: Ultramar _,_ Sampling Date: l Z 9 <br /> Site:—Beacon 0412 Project No. : <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 E If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : 3 <br /> Well cover type: 891 UV12" UV 12" EMCCE 317 8" Bim_ <br /> 12" BK 1.2" DWP 12" CNI 36" CNI Cher <br /> General condition of wellhead assembly: Excellent o 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 bailer: -s P 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 /> Init al-Measures a rentRecharge -Measurement <br /> Time: Time: Calculated purge: l 1 3 Zg� <br /> Depth of well: 7_$ Depth to water: �- R Actual purge: 11 <br /> Depth to water: 40 % -7 SStart purge: l 2 //0.„- Sampling time: 1 = 1 <br /> Time Temp. E.C. pH Turbidity Volume <br /> � � G1 q .5-4 -7 , 37 <br /> 2- <br /> 2 -7, Z 9 3 <br /> go q � � Z 31 7 , Zla L+ <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: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) :� _ <br /> Remarks: <br />