Laserfiche WebLink
DOUL08 LNVIROM1Eli'i'AL COMPANY SAMPLING INFORMATION SHEET <br /> client: Ultramar sampling Date: <br /> site: Beacon 513 Project No. : 94-513-01- <br /> 401 W. Kettl_eman Ln. Well Designation: - 2 <br /> nodi, cA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is theta standing water in well box? N Y Above TOC Below TOC <br /> Is top of casing cut level? No If no, see remarks <br /> Is well cap sealed and locked? NO MJ If no, see remarks <br /> Height of well casing riser (in inches) - J <br /> Well cover type: ell m 12" UV_Y_ 12" EMCO 8" BY%_ <br /> 12" BK__ 12" DWP 12" CNI ` 36" CNI ther <br /> General condition of wellhead assembly: Excellent oo I Fair Poor <br /> Purging Equipment: X2" 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 <br /> Purge vol. Multiplier: 0.16 0.65 1.47 2.5i gal/ft, <br /> Initial Measurement Recharge Measurement <br /> Time; 151 Time: i Calculated purge: <br /> Depth of well: D Depth to water: Actual purge:JJU� <br /> Depth to water: 63�r <br /> Start purge: 1107 Sampling time: <br /> Time Temp. L.C. pH Turbidity volume <br /> 1 i /1 CIL ZJ I 1 <br /> 61.1 el A 710 2- <br /> frL 7.0-7 3 <br /> 713 . 5 KIr 6 TL -L <br /> sample appearance: C_Z, Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" hocking Cap: Lock 03753: 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: pinned Allenhead (DWP) : <br /> Remarks: <br /> signature: &adz [ <br />