Laserfiche WebLink
4 <br /> DOULOB ENVIRONMENTAL COMPANY SMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 8` 3.1 <br /> Site:. Beacon 1419 Project No. : 94-419-01 _ <br /> 50 Waterloo Road Well Designation: MW- <br /> Stockton C <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? 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) : <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" <br /> 12" BK 12" DWP 12" CNI 36" CNI Other Z Po M e_ <br /> General, condition of wellhead assembly: Excellent o Fair Poor <br /> Purging Equipment: 2" disposable bailer 5P Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: L Q Teflon bailer: <br /> Well Diameter: 2" 488 Y 6" $" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2 . 61 gal/ft. <br /> Initial Measurement ec e s eme t <br /> Time: 3 r Time: I 0z 1. Calculated purge: <br /> Depth of well: .( 7 74 Depth to water: G U Actual purge: Kyy <br /> Depth to water: 9S__+24 <br /> Start purge: = G' Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> p 7. 3 G r� <br /> A <br /> r <br /> Sample appearance: �c 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 /> M <br /> 6" Locking Cap: Pinned Allenhead (DWP) :� <br /> Remarks: <br /> Signature: <br />