Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client. Sampling Date: 6-11-00 <br /> Sate Project No. : <br /> 1 _ 116Well Designation. MW- 3--_ <br /> Is setup of traffic control devices required" O YES time, hours <br /> Is there standing water in well boxy YES Above TOC Below TOC <br /> Is top of casing cut level' NO %U� 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 811 BK <br /> 12 " BK 12" DWP _ 12" CNI 36" CNI Othen <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 Disposal bailer _V Teflon bailer. <br /> Well Diameter- 2T' 411 X 6TI 811 <br /> Purge Vol . Multiplier: 0 16 0 . 65 1. 47 2 . 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time I1 Time )- Calculated purge 1. <br /> Depth of well .^ 3 5 Depth to water. Actual purge 64-. L4 <br /> � tP <br /> epth to water --' <br /> Start purge .- - _13-39 Sampling time. <br /> Time Temp. E. C. pH Turbidity Volume <br /> 46 L7 R )__ 0-0 <br /> 13 LC, L� 2-74j 7f oe .3 <br /> L 7 <br /> Sample appearance- C. Lock- <br /> Equipment replaced (Check all that apply) Note condition of replaced item <br /> 2 " Locking Cap: Lock #x3753 • 7/32 Allenhead: <br /> 4 " Locking cap- Lock-Dolphin:_ 9/16 Bolt <br /> 6" Locking Cap: Pinned Allenhead (DWP) • <br /> Remarks <br /> Signature <br />