Laserfiche WebLink
SAMPLING INFORMATION SHEET <br /> Rama e Environmental Sampling Date elp6 "" Q 6 <br /> Site Ag Comm Office Protect No <br /> 503 East 10" St Well Designation <br /> Tracy, CA <br /> Is setup of traffic control devices required WN <br /> YES time hours <br /> Is there standing water in the well box? YES Above TOC Below TOC <br /> Is top of casing cut Ieve17 E If no, see remarks <br /> Is well cap sealed and locked9 NO If no, see remarks <br /> Height of well casing riser(in inches) <br /> Well cover type 8"or I2" UV 12"EMCO 8"or I2"BK 8" Christy <br /> 12"Christy 8"M&D_�,l 12" M&D 12"DWP <br /> 12"CNI 36" CNI 12"Pomeco Other <br /> General condition of wellhead assembly Excellent Good Fair 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 Disposable Tubing <br /> Well Diameter 2" oe 4" 6" g" <br /> Purge Vol Multiplier X16 065 1 47 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time l Time t Calculated purge J - <br /> Depth of well J _ �?_ Depth to water i? - $ / Actual purge <br /> Depth to water <br /> Start purge Sampling time 't _ <br /> Time Tem eraWre E C pH Turbidity Volume <br /> a 3 Z g cr <br /> Z -2 Z-s eq>- ' CZ— <br /> Sample <br /> ZSample appearance �66c�J� Lock <br /> Equipment q pment replaced (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap Lock 7/32 Allenhead <br /> 4" Locking Cap Lock-Dolphin 9/16 Bolt- <br /> 6" Locking Cap Pinned Allenhead (DVvT): <br /> Remarks <br />