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DOLOLOS ENVIRONMENTAL )OMPANY SA LING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: (0/Z 19 <br /> 19 <br /> Site: Deacon 1419 Project No. : 24-419-01--_ <br /> 2350 Waterloo Road Well Designation: MW- _ <br /> Stockton CA <br /> Is setup of traffic control devices requirbd? dO) YES time: hours <br /> Is there standing water in well box? W ES Above TOC Below TOC <br /> Is top of casing cut level? NOIf no, see remarks <br /> Is well cap sealed and locked? NOIf no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV 1211 EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other-17- $567CT—C- G� <br /> General condition of wellhead assembly: Excellent Good 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: .S -P Teflon bailer: <br /> Well Diameter: 2" 4" 6" 8t' <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2.61 gal/ft. <br /> Ini&Jal Measurement egbarge Measur-ement 4q <br /> Time: S 3 5 Time: Calculated purge: <br /> Depth of well:_ S 7. 7 Depth to water: X12 G Actual purge: ?)c <br /> Depth to water: L4 (J t 52,- <br /> Start <br /> LStart purge: 14, %. I / Sampling time: 3 ) <br /> Time Temp. E.C. pH Turbidity Volume <br /> i g- 62 G , ') ) lb G '7, 3 __- I <br /> . 15 to 7, Oq iZoN 7t 31 ------ <br /> 7 , <br /> -----7 , 03 , 1 X1 -7 -7, Z- S <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 /> 411 Locking Cap: Lock-Dolphin; 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br />