Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 5 r <br /> Site: Beacon #610 Pro]ect No. : 94-610-01 <br /> 3300 Waterloo Road Well Designation: MW- <br /> Stockton. CA <br /> Is setup of traffic control devices required? egP 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) : I <br /> Well cover type: 8" W 12" UV 12" EMCO5C 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <br /> General condition of wellhead assembly: Excellent ® Fair Poor <br /> Purging Equipment: 2" disposable bailer �DL Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: S P Teflon bailer: <br /> Well Diameter: 2" 4"_X___ 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2 . 61 gal/ft. <br /> Initial Measurement Rechar a Measurement p <br /> Time: 11: Time: = Calculated purge: <br /> Depth of well: 3. 70 Depth to water: 3 649 Actual purge: <br /> Depth to water: <br /> Start purge: So Sampling time: 3. 1 <br /> Time Temp. E.C. pH Turbidity Volume <br /> - O 3 <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: <br />