Laserfiche WebLink
IDOULOS ENVIRONMENTAL, INC. SAMPLING INFORMATION SHEET <br /> Client Ultramar , <br /> Sampling Date <br /> Site Beacon #3641 Project No <br /> 1210 E Hammer Lane1400 Well Designation <br /> Stockton Ca <br /> Is setup of traffic control devices required? I`i0 YES time hours <br /> Is there standing water m the well box? N4 YES Above TOC Below TOC <br /> Is top of casing cut level9 NO YES If no, see remarks <br /> Is well cap sealed and locked? NO VESA 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 /> 12"CNI 36" CNI 12"Pomeco Other <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 <br /> Well Diameter 2" 4" 6" 8„ <br /> Purge Vol Multiplier 0 16 065 1 47 2 61 gal/ft <br /> Initial Measurement Recharge Mea_s_urement <br /> Time Time <br /> 7 - '�•`� Calculated pure r <br /> Depth of well Depth to water " Actual purge -�` <br /> Depth to water <br /> Start purge _ Sampling time S� <br /> P�c <br /> Temperature E C H Turbidity Volume <br /> � ' e/ �� <br /> Cr �� <br /> Sample appearance Lock ` <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap Lock 7/32 AIlenhead <br /> 4" Locking Cap Lack-Dolphin 9/16 Bolt <br /> 6" Locking Cap Pinned Allenhead (DWP) <br /> Remarks <br /> Signature <br />