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L <br /> { DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 10-13 -91. _ <br /> Site: Beacon #6.10 _ Project No. : 94-610-01 <br /> 3300 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? a 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) : a. _ <br /> Well cover type: 8" UV 12" UV 12" EMCO 8« BK <br /> 12" BK 12" DWP 12" CNI 36" CNI 0her -1J-" <br /> General condition of wellhead assembly: Excellent (Coo_ 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: Disposal bailer:_,J,: Teflon bailer: <br /> Well Diameter: 2" 411-4- 6" 81" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br />. Time: 10!; 4W _._ Time: 11..oi Calculated purge: (� <br /> Depth of well: J&1 31____ Depth to water: 73.30 Actual purge: 4r i- 1 <br /> Depth to water: 73 elA <br /> Start purge: 113 Sampling time: 13-03 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 1l �} 3 7. 07 <br /> 44 3 L4S 5 7 07 <br /> 1153 706 <br /> 6 <br /> 1151 of <br /> Sample appearance: Lock: <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 />