Laserfiche WebLink
` DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: <br /> Site: Beacon 641 Project No. : 98-641-01 <br /> 1210 East Hammer Lane Well Designation: <br /> Stockton CA <br /> Is setup of traffic control devices requiredYES time: <br /> hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? N _ If no, sae remarks <br /> Is well cap sealed and locked. <br /> NO If no, see remarks <br /> Height of well casing riser (in inches) : — $it <br /> Well cover type: 8" UV 12" UV12" EMCO //BK_ <br /> 12" BK 12" DWR-= 12" CNI 36" CNI_ Other�� pv-L—C) <br /> General condition of wellhead assembly: Excellent Fair Poor <br /> Purging Equipment: 2" disposable bailer .�.QSubmersible pump <br /> 211 PVC bailer Dedicated bailer <br /> 411 PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: Teflon bailer: <br /> Well Diameter: 2" 4" 6" Sit <br /> Purge Vol. Multiplier: 0. 16 <br /> 0.65 1.47 2 . 61 gal/ft. <br /> n t a Measu em ant Recharge, Measurement � S <br /> Time: � � G Calculated purge: <br /> Time <br /> Depth to water. -�' 7 �� Actual purge: -T <br />• Depth of well: P <br /> Depth to water:� <br /> Sampling time: <br /> Start purge: 1 <br /> Time Temp. E.C. pH Turbidity Volume <br /> r <br /> Sample appearance: <br /> Lock: ' ✓t ��� <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Lacking Cap: Lock 03753 :_ 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin:-- 9/16 Bolt: <br /> ._._ ^ <br /> 6" Locking Cap: Pinned Allenhead (DWP) :� <br /> Remarks: <br /> r <br /> Signature: <br />