Laserfiche WebLink
DOULOS ENVIRONMENTAL,INC. SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 27 -2-17-05 <br /> Site: Beacon #3641 Project No.: <br /> 1210 E.Hammer Lanel400 Well Designation: 14 w f <br /> _ Stockton,Ca. <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in the 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): <br /> Well cover type: 8"or 12"UV 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy 8"M&D 12"M&D 12"DWP � <br /> I2"CNI 36"CNI 12"Pomeco Other: 7 <br /> General condition of wellhead assembly: Excellent Good 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: Disposable bailer Teflon bailer Disposable Tubing-1,L<1— <br /> Well <br /> ubingWell Diameter: 2" X, 4" 6" 8=2 <br /> Purge Vol. Multiplier: 0.16 0.65 1.47 2.61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: = �_ Time: - / = Calculated purge: Y <br /> Depth of well: / - S Depth to water: d� 4 Actual purge: <br /> Depth to water: f yr $ <br /> ,!� <br /> Start purge: 1� - � Sampling time: 5 <br /> Time Temperature E.C. PH TurbiditZ Volume <br /> 1/ 3 8 70 • 2 d a <br /> r <br /> I Q 3 <br /> 72- <br /> Sample appearance: Lock: /✓ — <br /> Equipment replaced: (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap: Lock: 7/32 Allenhead: <br /> 4"Locking Cap: Lack-Dolphin: 9/16 Bolt: <br /> 6"Locking Cap: Pinned Allenhead (DWT): <br /> Remarks: <br /> Signature: <br />