Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 12- 6-9 6 <br />. Site:- Beacon #419 Pro)ect No. : 94-419-01 <br /> 2350 Waterloo Road 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? S 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" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent Go 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" 4" 611 811 <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. . 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge_Measurement <br />.Time: 73A Time: Calculated purge: ,C ,1 J <br /> Depth of well: g4 )-7 Depth to water: 573!,4 Actual purge: 66 .2- J, <br /> Depth to water: S*,C R'1 <br /> Start purge: R3 7 Sampling time: /0067 <br /> Time Temp. E. C. pH Turbidity Volume <br /> . 76 L3 <br /> of <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: �� `�'' S G 10 212 5 6 <br />