Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 6­24­14 <br /> Site: Beacon 4695 Project No. : 94--695-01 <br /> 900 S. Cherokee Lane Well Designation: MW-/ <br /> Lodi CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? N If no, see remarks <br /> Is well cap sealed and locked? O If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI they <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:_-) 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 /> Ak Time: �� Time:_t-.5_7 Calculated purge: �_ 7 <br /> Actual purge: j• / <br /> Depth of well: Depth to water: <br /> Depth to water: 0 61 <br /> Start purge:2S 6 Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> S $ 7 2- <br /> poo - I Jo :' 619 <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 /> i <br /> Signature: <br />