Laserfiche WebLink
DOULOS MMIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> ' Client: Ultramar Sampling Date:_ <br /> Site:- - Beacon #695_ _ Project No. : 94-695-c0�1 <br /> 900 S. Cherokee Lane Well Designation:_ . <br /> Lodi 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? NO If no, see remarks <br /> Is well cap sealed and locked? NO 4EEP If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" UV 12" EMCO <br /> 1211 BK 12" DWP 12" CNI CNI K Other <br /> General condition of wellhead assembly: ExWlent oo Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer �K Centrifugal pump <br /> Sampled with: Disposal bailer: X Teflon bailer: <br /> Well Diameter: 2" 4" X 6" $" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2 . 61 gal/ft. <br /> Initial Measurement Recharge -Measurement <br /> Time: Time: : 2Calculated Purge:.2 r Depth of well: 76 r <br /> 6� Depth to wate : d 1 Actual purge: <br /> Depth to water: ? <br /> Start purge: 1_ 10____ Sampling time: 5- 30 <br /> Time Temp. E.C. pH Turbidity Volume <br /> 3 - 1 � e5 881 773 <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 />