Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date:___ <br /> Site: Beacon 695 Pro]ect No. : 94-695-01 <br /> 900 S. Cherokee Lane Well Designation:_ MW- <br /> _ <br /> Lodl CA <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? If no, see remarks <br /> Is well cap sealed and locked? N QE If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 811 UV 121, UV 1211 EMCO 814 BR <br /> 1214 BR 12 14 DWP 12 14 CNI J __ 3 611 CNI ther <br /> GenRera�++dition offwwellhead assembly: Excellent Chi` Fair Poor <br /> Purging Equipment: 211 disposable bailer Submersible pump <br /> 211 PVC bailer Dedicated bailer <br /> 411 PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer:-- Teflon bailer: <br /> Well Diameter: 214 414 6" 8f4 <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharcre Measurement <br /> Time: 91,xTime: a.L.4 Calculated purge: <br /> Depth of well:. 663 Depth to water: Lo, Actual purge: ',ff <br /> Depth to water: <br /> Start purge: 3 /0 Sampling time: 313 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 71-f <br /> /''4d 730 <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 /> 41f Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 614 Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />