Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: 40.e,Sampl ing Date: <br /> .J oe r ug1p 3 r%.Site: Project No. : <br /> ls(o v rt <br /> Well Designation: <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in 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? NOIf no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type; 8" W 12" W 12" tMCO <br /> 12" BK 12" DWP 12" CNI 36" CNI then <br /> 1 General condition of wellhead assembly: Excellent 7Fair 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" 8" <br /> Purge Vol. Multiplier: 0 . 1.6 0. 65 1.47 2 . 61 gal/ft. <br /> e s n <br /> Time: Ia ��3 Time: Calculated purge: <br /> Depth of well; Depth to water: '� Actual purge: <br /> Depth to water: <br /> Start purge: j °L ' 9 Sampling time; 2 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 7r . 5 07 -?Cf <br /> t 1012 12Ll -6 _ 3o <br /> Sample appearance: Cc 41= Lock. <br /> Equipment replaced: (Check all that apply) Note condition of 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 /> i <br /> Signature: <br />