Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: <br /> Site: Beacon t474 Project No. : 94.474-01 <br /> 3440 E. Main Street Well Designation:_ MW_ <br /> Stockton, CA <br /> Is setup of traffic control devices required YES time: hours <br /> Is there standing water in well box? Q O� YES Above TOC Below TOC <br /> Is top of casing cut level.? NO �, If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : 3 _ <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" BSC <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent cEoo Fair Poor <br /> Purging Equipment: 2" disposable bailer X Submersible pump <br /> 211 PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal. pump <br /> Sampled with: Disposal bailer:__X Teflon bailer: <br /> Well Diameter: 2"-X— 4" 6" 8" <br /> Purge Vol. Multiplier: 0 . 16 0. 65 1. 47 2 . 61 gal/ft. <br /> . Initial Measurement Recharge Measurement r0 / <br /> Time: : 3 V Time: Calculated purge: 0 71 <br /> Depth of well: ' S Depth to water. 66 Actual purge: cam <br /> Depth to water: q 9j_ <br /> Start purge: Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> /7 <br /> el <br /> Sample appearance• 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 /> signature: .1� <br />