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DOULOS ENVIRONMENTAL INC. SAMPLING INFORMATION SHEET <br /> Client Delta Env Sampling Date /1 41- ' <br /> Site• 2537 Waterloo Rd (100966) Project No , <br /> Stockton, CA Well Designation <br /> Is setup of traffic control devices required? time _hours <br /> Is there standing water in the well box? NO Above TOC Below TOC <br /> Is top of C49mg 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(m inches) <br /> Wellcover type 8"or 12"UV 12"EMCO 8"or 12"BK 8"Chesty <br /> 12"Christy 8"M&D�- 12"M&D I2"DWP <br /> 12"GNI 36"CNI 12"Porneco Other <br /> General condition of wellhead assembly Excellent Good ..—. Fair Poo <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 Disposable Tubing <br /> Well Diameter 2" 4"_ 6" 8" <br /> Purge Vol Multiplier 016 065 147 2 61 gal/ft <br /> Initial Measurement Rechar a Measurement <br /> Time 7.as Time Calculated purge <br /> . Depth of well Depth to water _r„ � / Actual purge. w <br /> Depth to water. <br /> Start purge ,F Sampling time tr <br /> Time Tem erature E C pH Turbidity Volume <br /> 13 �, 1 <br /> V, <br /> r _ <br /> o Sample appearance; Lock <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap. Lock 7132 Allenhead <br /> 4"Lockuig Cap- Lock-Dolphin. 9116 Bolt. <br /> i <br /> 6"Locking Capx Pinned Allenhead(DWP) <br /> Remarks. <br /> y <br /> 4 <br /> Sipgriature' h� <br />