Laserfiche WebLink
DOULOS ENVIRONMENTAL, INC. SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: — Q — D 7 <br /> Site: Beacon #3641 Project No.: <br /> rte:: <br /> 1210 E.Hammer Lane 1400 Well Designation; AA4 W — 3 <br /> Stockton Ca. <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in the 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 If no, see remarks <br /> Height of well casing riser(in inches): <br /> Well cover type: 8"or 12"UV 12"EMCO 8"or 12"BK 8" Christy <br /> 12"Christy8"M&D 12"M&D 12"DWP _ <br /> 12"CW 36"CNI 12"Pomeco Other: <br /> General condition of wellhead assembly: Excellent Good- Fair Poor <br /> Purging Equipment: 2" disposable bailer XSubmersible 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" 811 <br /> Purge Vol. Multiplier: 0.16 0.65 1.47 2.61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: 7- Y1 Time: = t2 Calculated purge: - a <br /> Depth of well; /Y. Y/ Depth to water: Actual purge: r <br /> Depth to water: 7 <br /> Start purge: Sampling time: ! <br /> � <br /> Time Temperature E.C. pH Turbidi Volume <br /> �-3Z 2. • S 3y / . � i Z <br /> � '•�3 7 3 . 0 3 24 7 . 2. 3 <br /> 2 <br /> Sample appearance: 6A Lock: <br /> Equipment replaced; (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap: Lock: _ 7/32 Allenhead: <br /> 4"Locking Cap: Lock-Dolphin: 9116 Bolt: <br /> 6"Locking Cap: Pinned AlIenhead (DWP): <br /> Remarks: ' <br /> Signature: <br />