Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY <br /> SAMPLING INFORMATION SHEET <br /> Sampling Date• -9'7Client: � `r�7 <br /> site: Project NO. : LL ~� <br /> Well Designation: <br /> _ hours <br /> Is setup of traffic control devices required? 0 YES time: <br /> TOC Below TOC <br /> Is there standing water in well box. NO If no, see remarks <br /> Is top of casing cut level? If no, see remarks <br /> Is well cap sealed and locked? NO E <br /> Height of well casing riser (in inches) : „8BK <br /> Well cover type: 8" UV 12 UV_ 1211 EMCO�� <br /> Other <br /> r� <br /> 12" BK 12" air Poor <br /> DWP 12" CNI 36 C �� <br /> General condition of wellhead assembly: Excellent oo F <br /> Submersible pump <br /> Purging Equipment: 2" disposable bailer - Dedicated bailer <br /> 2'F PVC bailer Centrifugal pump . <br /> 4" PVC bailer <br /> Sampled with: Disposable bailer:_ Teflon bailer:— <br /> ,� <br /> Well Diameter: 2" 4 /�— <br /> 611 all <br /> 0, 65 1. 47 2 . 61 gal/ft. <br /> Purge Vol. Multiplier: 0. 16 Recharge Measurement • <br /> Initial Measurement Calculated purge: <br /> Time: Time: <br /> Depth of well: Depth to water:_ 6Gf.ol Actual purge: L• '! <br /> Depth to water: <br /> Start purge: l Sampling time:, <br /> Time Temp. E. C. pH Turbidity Volume <br /> D L 70. L- 14-f- - 7 { <br /> fr03 6q. - 1130 <br /> 31 �- <br /> 1?04 64-g I3 7 7� <br /> ebb (S�':.5 13 z 21 <br /> Sample appearance: fie-•- Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> Lock #3753 : 7/32 Allenhead: <br /> 2" Locking Cap: _ -- <br /> „ Lock--Dolphin: 9/16 Bolt: <br /> , <br /> 4 Locking Cap: Pinned Allenhead (DWP) :^ <br /> 6" Locking Cap:` <br /> • Remarks: <br /> Signature: <br />