Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: °Lim Sampling Date: <br /> Site: 6 7S Project No. : 1lio ' S 1C00l <br /> �? 0 S 1t- Well Designation:- AW-2-7 <br /> �L Com, <br /> Is setup of traffic control devices required? � YES time: hours <br /> Is tl ere standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? NO M If no, see remarks <br /> Is well cap sealed and locked? NO E If no, see remarks <br /> Height of well casing riser (in inches) : -3 <br /> Well cover type: 811 W 1211 W 1211 EMCO 890 BK <br /> 1211 BK 1211 DWP 1211 CNI V 3 611 CNI then <br /> General condition of wellhead assembly: Excellent Goo 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: 219 411 600 811 <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: Time: Q0 Calculated purge: S. {' <br /> Depth of well:7 S, r Depth to mater: Actual purge: E. 6 <br /> Depth to water: r.70!4 <br /> Start purge: 9 � Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> Sample appearance: Lock: "''^' <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 294 Locking Cap: Lock 03753: 7/32 Allenhead: <br /> 414 Locking Cap: Lock-Dolphin: 9/16 Bolt; <br /> 617 Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />