Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: /z-6-9t _ <br /> Site: Beacon #419 Project No. : 94-419-01 <br /> 2350 Waterloo Road Well Designation: MW_ <br /> Stockton, CA <br /> Is setup of traffic control devices required? ©O YES time: hours <br /> Is there standing water in well box? NO ove OC Below TOC <br /> Is top of casing cut level? NO Ir no, see remarks <br /> Is well cap sealed and locked? NO E If no, see remarks <br /> Height of well casing riser (in inches) : _ kt- <br /> Well cover type: 8" UV 12" UV 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI ther <br /> General condition of wellhead assembly: Excellent oo 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: <br /> Well Diameter: 2" 41 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br />*Time: 17i4o Time: Est Calculated purge: 69 <br /> Depth of well: V:f j-o Depth to water: 0 , _q_2 Actual purge: E 9 y <br /> Depth to water: <br /> Start purge: ?/I Sampling time: _���_ <br /> Time Temp. E.C. pH Turbidity Volume <br /> 6 q 7J3 ' <br /> 15o44- 7i)_ <br /> 67�5 <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: 8 ®0 2 <br />