Laserfiche WebLink
DOULOS ENVIRONXZNTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: '�' -3 / - 17 1 <br /> Site: Beacon #641 Project No. : 98-641-01 <br /> 1210 East Hammer Lane Well Designation: M w - 5 <br /> Stockton, CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box' 19R 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) : 1-L y <br /> Well cover type: 8" W 12" UV 12" EMCO 8" BK <br /> 12" BK 12" DWP324y CNI�_ 36" CNI Other <br /> General condition of wellhead assembly: Excellent 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: <br /> Well Diameter: 2" 4" 6" 811�_ <br /> Purge Vol. Multiplier: 0 . 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: 1 ' 4 Time: -579' Calculated purge: � 41 ` <br /> Depth of well: 73 7 Depth to water: yle Actual purge: <br /> Depth to water: _ 9. 4 <br /> Start purge: 3 O Sampling time: ? SS <br /> Time Temp. E. C. pH Turbidity Volume <br /> 7• UU 7r, U / 7 - 2-6) <br /> ~--- z <br /> Sample appearance: Lock: c�— <br /> Equipment replaced: (Check all that apply) Note condition f 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 /> Signature: <br />