Laserfiche WebLink
DOULOS ENVIRONMENTAL INC. SAMPLING INFORMATION SHEET <br /> Client Environeerm Inc Sampling Date <br /> 0 <br /> Site California Tank Lines Project No <br /> 3105 S El Dorado Street Well Designation- <br /> Stockton,CA <br /> Is setup of traffic control devices required? YES tone hours <br /> Is there standing water m the well box? AS Above TOC Below TOC <br /> Is top of casing cut level? N If no,see remarks <br /> Is well cap sealed and locked? NO If no,see remarks <br /> Height of well casing riser(in orches) -�15 <br /> Well cover type 8"or 12"UV 12' EMCO 8"or 12"BK 8"Christy <br /> 12"Christy 8"M&D 12"M&D 12"DWP <br /> 12"CNI 36"CNI 12"Pomeco Other <br /> General condition of wellhead assembly Excellent Good Fair Poor <br /> Purging Equipment 2"disposable bailer Submersible pump <br /> 2"PVC bailer Dedicated bailer <br /> 4"PVC bailer Centrifugal pump <br /> Sampled with Disposable bailer _ Teflon bailer Disposable Tubing _ <br /> Well Diameter 2" 4" 6" 8" <br /> Purge Vol Multiplier 0 1 065 147 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time. �00 Time. Calculated purge F <br /> Depth of wellZ Depth to water; Actual purge. <br /> Depth to water - • tl l/ <br /> Start purge 'o Sampling time " 10 <br /> Tune Temperature E C pH Turbich Volume <br /> /Z tap <br /> ' C *. <br /> 07 <br /> Sample appearance 4 Lock. <br /> p <br /> Equipment replaced (check all that apply) Note condition of replaced items) <br /> 2"Locking Cap Lock 7132 Allenhead <br /> 4"Locking Cap Lock-Dolphin 9116 Bolt <br /> 6"Locking Cap- Pinned Allenhead(DWP) <br /> Remarks. 1 e,/t <br /> i <br /> Signature: <br />