Laserfiche WebLink
DOQLOB ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: 12- 17- 94 <br /> Site: _,Beacn- #695_ Project No. : 94 .695_01 <br /> 900 -S.- Cherokee Lane Well Designation: MW- 3_Q <br /> Lodi, CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? a YES Above TOC Below TOC <br /> Is top of casing cut level? NO dOM If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : q <br /> Well cover type: 8" W 12" W 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI X_ 36" CNI Other <br /> General condition of wellhead assembly: Excellent aoSD Fair Poor <br /> I1�111� ■III ISI I.III.�II I� <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer _Centrifugal pump <br /> Sampled with: Disposal bailer:.__, Teflon bailer: <br /> Well Diameter: 2" 4"_J�_ 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Rechar e Measurement <br /> Time: 9 . 3 DTime: Calculated purge: <br />' Depth of well: 77. Depth to water: - y 7 Actual purge: •Q �� <br /> Depth to water: 41 <br />.Start purge: I Q '_00___ Sampling time: 3 . 30 3D <br /> Time Temp. E.C. pH Turbidity Volume <br /> io t E 65 6 q 71 7 . 7 PI/M.0 pRY <br /> to 3- 5 65 - <br /> Sample appearance: Lock: D <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 03753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />