Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: - <br /> • Site•. Beacon #695 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? 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: 811 UV 1211 UV 1211 EMCO 811 BK <br /> 1211 BK 121' DWP U CNI X 36" CNI Other <br /> General condition of wellheacrassembly: Excellent Go Fair Poor <br /> Purging Equipment: 211 disposable bailer Submersible pump <br /> 211 PVC bailer Dedicated bailer <br /> 411 PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer: Teflon bailer: <br /> Well Diameter: 211 4" 610 811 <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: 1 a 7 Time: S S` Calculated purge: .26' 7 �� <br /> Depth of well 7 6 Depth to water:_4 6& 9'3 Actual purge:�bd <br /> Depth to water: 66 <br /> Star purge• S O Sampling time:-- 6. 0,2= __. <br /> Time Temp. E.C. pH Turbidity Volume <br /> 5 ='D 73 . 57 ley 731 I <br /> 9 -09 � 3 (5' U 3 6 -� 1 a ----i <br /> J5 73 , e ! / 3 / `74,2-- <br /> -7 3 <br /> 7• l,2--73 1 .7 /0 <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 211 Locking Cap: Lock #3753 • 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 611 Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />