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DOUL08 ENVIRONMENTAL COMPANY SAMPLING INFORMATION _SHEET <br /> 7 Client: Ultramar Sampling Date: �/ <br /> Site: Beacon #419 ProDect 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 SES If no, see remarks <br /> Is well cap sealed and locked? NO� If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV 12" EMCO _ 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI er <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: Teflon bailer: <br /> Well Diameter: 2" 4" 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br />. <br /> Initial Measurement RechargeMeasurement <br /> Time: I0 -�� Time:_ 1 � •� Calculated purge: (/(, <br /> Depth of well: �� � � Depth to water: Actual purge: /// <br /> Depth to water: q 2--E0 <br /> Start prurge: Sampling time: 1 <br /> Time Temp. E.C. pH Turbidity Volume <br /> + J <br /> Sample appearance: i i- -— - Lock: 1 f� <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 /> Signature: <br />