Laserfiche WebLink
DOULOS ENVIRONMENTAL r.•JI"il1-PANY Spm ANG INFORMATION SHEET <br /> 0 Client: Ultramar D amo Shamrock Sampling Date: <br /> Site: Beacon #641 Project No. : 98-641-01 <br /> lO East Hammer La a Well Designation: wr <br /> Stockton CA <br /> hours <br /> Is setup of traffic control devices'required? YES AboverTOC Below TOC <br /> Is there standing water in well box. N If no, see remarks <br /> Is top of casing cut level? If no, see remarks <br /> Is well cap sealed and locked? O <br /> Height of well casing riser (in inches) : 1201 EMCO 8" BK <br /> Well cover type: $" UV12" CNI. IN,3 " CNI they'3" 11 <br /> 12" BK 12" DWP bly: Excellent ood Fair Poor <br /> General condition of wellhead assem <br /> 2" disposable bailer Submersible pump <br /> Purging Equipment: . -211 PVC bailer Dedicated bailer <br /> 41+ PVC bailer ,_Centrifugal pump <br /> sP <br /> osable bailer:- Teflon bailer: <br /> Sampled with: Di <br /> � 611_ <br /> 811 <br /> Well Diameter: 2" 411 ,/ - <br /> 0. 65 1. 47 2 . 61 gal/ft. <br /> urge Vol. Multiplier: O' Z6 Rechar a Measurement <br /> Init 'a easurement 1L Calculated purge: <br /> Time: Time: Actual purge: Sq <br /> '• <br /> Depth of well: �71 Depth to water: 6z <br /> Depth to water: <br /> Start purge: S Sampling time: 7/3 <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> � 1 2 <br /> _a 7�6 <br /> Sample appearance:: Lock: -��'��'-" <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> Lock #3753 : 7/32 Allenhead: <br /> 2„ Locking Cap:, 9/16 Bolt: <br /> 41' Locking Cap:._ Lock-Dolphin:�� <br /> Pinned Allenhead (DWP) : <br /> Locking Cap: � <br /> Remarks: <br /> Signature: <br />