Laserfiche WebLink
D01 LOS ENVIRONr MMAY. COMPANY SAMPLING INFORMATION! SHEET <br /> Client: Ultramar Sampling Date: - - <br /> Site: Beacon 9695 Project No. : 94-695-01 <br /> 9g0__S Chgrgkee Lane Well Designation: KW-�� <br /> Lodi. Chi <br /> Is setup of traffic control devices required? io YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? Vol if no, see remarks <br /> Is well cap sealed and locked? NO if no, see remarks <br /> Height of well casing riser (in inches) . S <br /> Well cover type: a" UV 1219 UV 12" W4CO 840 BK <br /> 12" BK 12 40 DWP J- 1244 CNI 3 6 P9 CNI <br /> General condition of�head assembly: Excellent Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 200 PVC bailer Dedicated bailer <br /> 40 PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer: Teflon bailer: <br /> Well Diameter: 2 PP x 497 600 g Pa <br /> Purge Vol. Multiplier: 0. 16 0.65 1.447 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement � <br /> Time: F",'_/ Time: //L, � Calculated purge.- <br /> Depth of well: 6 3z� Depth to water: Actual purge: '_1 - <br /> Depth to water. <br /> •-� <br /> Start spurge: !m 3 Sampling time: "S <br /> Time Temp. E.C. pH Turbidity volume <br /> r <br /> Sample appearance: C,ZI 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 /> 1 <br /> Signature: F - <br />