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DOVLOB ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: -Ultramar Sampling Date: <br /> Site: Beagon #419 Project No. : 24-419-01 <br /> 50 Wateg o0 oad Well Designation: MW-fF <br /> Stockton CA <br /> Is setup of traffic control devices required? 'Nb YES time: hours <br /> Is there standing water in well box? ijo 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 If no, see remarks <br /> Height of well casing riser (in inches) : 4 <br /> Well cover type: 8" UV- 12" UV 12" EMCo 8" BK� <br /> 12" BK 12" DWP 12" CNI 36" CNI 0therf7-`p <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: �t/_ Teflon bailer:_ -- 441,1't-5 <br /> fl 8 If <br /> Well Diameter: 2" 4 6 <br /> Purge Vol. Multiplier: 0. 16 0.65 1.47 2. 61 gal/ft. <br /> su eme Recharge Measurement_ 32 <br /> WCalcime: info Time: 6s- <br /> ulated purge:�� <br /> Depth of wel1:...�7� Depth to water: 4.71 1 Actual purge: 31,1 <br /> Depth to water: <br /> Start purge: I�Se Sampling time: 103 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 36 <br /> � 3 <br /> 1^u 2- <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) :,_1..._ <br />. Remarks: <br /> Signature: <br />