Laserfiche WebLink
DOULOS ENVIRONMENTAL, INC. SAMPLING INFORMATION SHEET <br /> Client Ultramar Sampling Date 91 /'2 <br /> Site Beacon #3641 Project No <br /> 1210 E Hammer Lan, <br /> e1400 Well Designation r <br /> Stockton,Ca <br /> Is setup of traffic control devices required? YES time hours <br /> Is there standing water in the well boxy 19 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"testy 8"M&D 12"M&D 12"DWP <br /> 36"CNi12"Porneco Other <br /> General condition of wellhead assemb y Excellent Good Fair Poor <br /> Purging Equipment 2" disposable bailer ubmersible 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" � 411 6„ 817 <br /> Purge Vol Multiplier 016 065 147— 2 61 gal/fl <br /> hutial Measurement Recharge Measurement g <br /> Time 46 Time Calculated purge <br /> Depth of well a' Y.0Z LDepth to water Actual purge <br /> Depth to water 5,;1, <br /> Start purge 3.F z f Sampling time : 3 <br /> Time Temperature EC H Turbidit Volume <br /> Sample appearance Lock 0 R7- <br /> Equipment <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 9/16 Bolt <br /> 6"Locking Cap Pinned Allenhead (DWP)0 <br /> Remarks <br /> Signature <br />