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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: <br /> Site: Bea co #412 Project No. : 94-419-01 <br /> 2350 Waterlog 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? 8 YES Above TOC Below TOC <br /> Is top of casing cut level? <br /> NO ItP If no, see remarks <br /> Is well cap sealed and locked? NO )TP If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: S" UV 12" W 1 <br /> 21= EMCO 8+1 BK <br /> 36" CNI <br /> 12" BK- 12" DWP 12" CNI Excellent r ootherFair Poor <br /> General condition of wellhead assembly: Imo' <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 /> u emelt Recharge. Measurement <br /> 9 <br /> � <br /> Time: /0--9_ Time:,_ /.L/"I Calculated purge: /03 <br /> Depth of well• •�6 Depth to water: 7 Actual purge: ij <br /> Depth to water: 4fU3 <br /> Start purge: J1-01 Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> 717 <br /> / s 1 1106 7J <br /> 67 1�- 111'F 71/ 3 <br /> /tel6,5 ,s J/—;- ��01 <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 13753 :. 7/32 Allenhead:_�_ <br /> 4" Locking Cap: Lock-Dolphin:. 9/16 Bolt:_ <br /> 6" Locking Cap: Pinned Allenhead (DWP) :�.� <br /> Remarks: <br /> Signature: <br />