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DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 11'1-95 <br /> Site:—Beacon #419 Project No. : 94-419-01 <br /> 2350 Waterloo Road Well Designation: MW- 1 <br /> Stockton, CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? a Y S 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) : <br /> Well cover type: 8" UV 12" UV 12" EMC 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI they <br /> General condition of wellhead assembly: Excellent o 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 /> Initial Measurement Recharge Measurement <br /> * Time: /L3" Time: :I-) L4 Calculated purger <br /> Depth of well: 6-1--1 Depth to water: Actual purge: ;53 6 �. <br /> Depth to water: 62 6_ <br /> Start purge: 154 Sampling time:Z15 <br /> Time Temp. E. C. pH Turbidity Volume <br /> 11 :Y rf <br /> zo3 _L0 �/ 2 <br /> Zog 74 711 <br /> '706 762- <br /> Sample <br /> 6ZSample appearance: Lock: <br /> Equipment <br /> ock: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: j <br />