Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING rNFORMATION SHEET <br /> CLent Ultramar Samptmg Date j:1 <br /> Site Beacon#695 Project No 94-6954 <br /> 900 a2glb Cherokee Lane Well Dwrgnaftm RW- <br /> Lodi. <br /> WLodi.CA <br /> Is setup of traffic control devices requuvd? O YES time homes <br /> Is there standing water m well box? YES Above TOC Below TOC <br /> Is top of casmg cut level? NO If no,am remaru <br /> Is well cap sealed and locked? NO If no,see remarks <br /> Height of well casing riser(m orches) �7, , <br /> Well cover type S" LTV 12"UV 12"EMCO 3"BK <br /> 12"BK 12" DPW 12"CNI 36"CNI,� Other <br /> General condition of wellhead assembly Excellent G Fur Poor <br /> Purging Equipment 2"disposable bailer Submersible pump <br /> 3" PVC bailer Dedr Aded bade <br /> 4" PVC bailer y _ _Centrdugal pump <br /> Sampled with Disposable boder A T_etlon`bTarer <br /> Well diameter 2" 4" 6" >lp <br /> Purge Vol Multiplier 016 065 147 261 gaUR <br /> Initial Measurement Rechm Measurement <br />• Tam 4Vd-r Tune !IJ q Calculated PUMX - <br /> Depth of weU L3�,2 Dzpth to water 6 Actual[erg <br /> Depth to voter <br /> Start purge r Sampling time <br /> Time Temperature E.C PH Turbidity Vohima <br /> Sample appearaom y, Lock y, <br /> Equipment replaced (Cha&all that apply) Note condition of replaced Item <br /> 2" looking cap LaaEs#3733 7132 A enhw& <br /> 4" locking cup Look-Dolphin 9116 bok <br /> 6" locking cap Punned Allenhead(DPW) <br /> Remarbw <br /> Signature <br />