Laserfiche WebLink
DOOLOS ENVIRONMENTAL COXPANY SAMPLING INFORMATION SHEET <br /> m - <br /> Client: Sampling Dates <br /> Site: � 6 is .„_ Project No -1�”6°�L01 <br /> . . <br /> g44 S, F <br /> cAa4,16� Well Designation: ,M <br /> C'A/ <br /> Is setup of traffic control eevices required? YES time: hours <br /> Is there standing water in cell box? ES Above TOC Below TOC <br /> Is top of casing cut level? NO 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: 811 W 1211 W 1211 EMCO 8 90 BK <br /> 12" BK 12 90 DWP __ 12 10 CNI 3 610 CNI ther <br /> General condition of wellhead assembly: Excellent Goo Fair Poor <br /> Purging Equipment: �- 29' disposable bailer Submersible pump <br /> 211 PVC bailer Dedicated bailer <br /> 491 PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer: Teflon bailer: <br /> Well Diameter: 211 4" 600 810 <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement tRechar a MeasurementTime: 1010 Time: Calculated purge:a,3 <br /> Depth of well: Depth Depth to water: �' _ Actual purge: 2-3 <br /> Depth to dater: .2, <br /> Starr purge: 133 Sampling time: 1 <br /> Time Temp. E.C. pH Turbidity Volume <br /> o-P 6 tft 7,3 rr 2& 2 <br /> 3 7-17 <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 24° Locking Cap: Lock 93753: 7/32 Allenhead:� <br /> 411 Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 600 Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />