Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client; Ultramar Sampling Date: <br /> . <br /> Site:_ Beacon #695 - Project No. : 94-695-01 <br /> 900 S. Cherokee Lane Well Designation:, RW- <br /> Lodi CA <br /> Is setup of traffic control devices required? O 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 kDS If no, see remarks <br /> Height of well casing riser (in inches) : 16 <br /> Well cover type: S" UV 12" UV 12" EMCO 8l� BK <br /> 12" BK 12" DWP 12" CNI 36" CNIk _ Other <br /> General condition of wellhead assembly: Excellent Goo 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" 419 611-X— 8n <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> g-J <br /> Time* a-3 Time• 1..s 7 _ Calculated purge: <br /> G16,3 J <br /> ® Depth of well: 3Ja Depth to water: G7•� Actual purge: f <br /> Depth to water: ��3-- <br /> start purge: __ _ Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> las <br /> 746 <br /> Sample appearance: Lock: f <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 />