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DOULOS ENVIRONMENTAL INC. SAMPLING INF2RMATIOk1l SHEET <br /> Client Delta Env Sampling Date 7?—, ZqQ <br /> Site 2537 Waterloo Rd. 10096 Protect No <br /> Stockton, CA Well Designation <br /> Is setup of traffic control devices required? tame . hours <br /> Is there stmdmg water ui the well box? 0 Above TOC Below TQC <br /> Is top of casing cut level? NO RNA If no,see remarks <br /> Is well cap sealed and locked? IS' NO IEWY If no,see remarks <br /> Height of well casing riser(in niches) J <br /> Well cover type 8"or 12"W 12"EMCO 8"or 12"BK $"Christy <br /> 12"Chesty 8"M&D 12"M&D�� 12"DWP <br /> 12"CNI 36"CNI 12"Pomeco Other <br /> General condition of wellhead assembly Excellent Good Fair Poor <br /> Purging Equipment 2"disposable hailer 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" g" <br /> Purge Vol Multiplier 016 065 147 2.61 gal/ft <br /> initial Measurement Recharge Measurement <br /> Time. Time- Calculated purge <br /> . Depth of well s Depth to water T-/ Actual purge <br /> Depth to water <br /> Start purge. 19 _ Sampling time g 1414 <br /> Time Tem erature E.0 pH Turbidity Volume <br /> 20 � <br /> 'q1,1, 3-r- 73S es' <br /> 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"Locking Cap Lock-Dolphin. ` 9/16 Bolt, <br /> 6"Locking Cap Pinned Allenhead (DWP)._ <br /> Remarks <br /> jo/�-/ <br /> Signature' <br />