Laserfiche WebLink
M <br /> DOULOS ENVIRONNENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Y Client: Ultramar Sampling Date: ,f <br /> Site: Beacon_ 419 Project No. : -4 <br /> 2350- Wat.e_rloo Road Well Designation: MW- <br /> Stockton CA <br /> Is setup of traffic control devices required? e!5> YES time: hours <br /> Is there standing water in well box? (M!!5 YES Above TOC Below TOC <br /> Is top of casing cut level? N4 If no, see remarks <br /> Is well cap sealed and locked? N If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV12" UV12" EMCO---,e,'- 8" BX- <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent (GM!rq Fair Poor <br /> Purging Equipment: 2" disposable bailer X, Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer:--(;- P Teflon bailer: <br /> Well Diameter: 2" 4" 6" $" <br /> Purge Vol. Multiplier: 0. 16 0.65 1.47 2. 61 gal/ft. <br /> Initial MeasurgMent ec a e e suremen& <br /> Time: `7 '3 L_ Time: : t17Calculated purge: j- <br /> .91 <br /> Depth of well.: _ � y � � Depth to water: 7 2 Actual purge: o <br /> Depth to water: Yr '? I <br /> Start purge: If Z Sampling time: <br /> Time Temp. E. C. pH Turbidity Volume <br /> Sample appearance: � � ��� Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 13753 : 7/32 Allenhead:�_____,__ <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Alienhead (DWP) :r� <br /> Remarks: _ <br /> Signature: <br />