Laserfiche WebLink
DOULOS ENVIRONMENTAL, INC. SAMPLING INFORMATION SHEET <br /> CIient Ultramar Sampling Date _ 11 'o�_� 'O <br /> • Site Beacon #3641 Project No <br /> 12I0 E Hammer Lane 1400 Well Designation -�✓:s' <br /> Stockton Ca _ ' <br /> Is setup of traffic control devices required? YES time hours <br /> Is there standing water to the well boxy 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 user(in inches) 2— <br /> Well cover type 8"or 12"W I2" EMCO 8"or 12"BK 8"Christy <br /> 12"Chnsry8"M&D 12"M&D 12"DWP <br /> 12"CM 'CNI � 12"Pomeco Other <br /> Genera.condition o 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 bailerc � Teflon bailer Disposable Tubing <br /> Well Diameter 2" 4" 6" g,> r <br /> Purge Vol Multiplier 0 16 0 65 1 47 2 61 gal/ft <br /> Initial Measurement Recharge Measurement / <br /> • Time ;o 7 Time Calculated purge (p G <br /> Depth of well .4 Depth to water Actual purge {� <br /> Depth to water c <br /> Start purge Sampling time <br /> ff':59F <br /> Tem erature EC H TurbidityVolume <br /> ey 2- q21 <br /> C/ 70 <br /> Sample appearance C &C-V Lock e h' <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2" Locking Cap Lock 7132 Allenhead y <br /> 4" Locking Cap Lock-Dolphin 9/16 Bolt <br /> 6" Locking Cap Pinned Ailenhead (DWP) �~ <br /> • Remarks <br /> sr <br /> r� <br /> Signature ` <br />