Laserfiche WebLink
r <br /> DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date : <br />• <br /> Site _ Beacon #641 Project No . : 98-641-01 <br /> 1210 East Hammer Lane Well Designation - yw� <br /> Stockton, CA <br /> Is setup of traffic control devices required1 YES time - hours <br /> Is there standing water in well box' 4EYES Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked' N9 - If no, see remarks <br /> Height of well casing riser (in inches) : *" / 0 <br /> Well cover type : 8" UV 12" UV12" EMCO 8" BK <br /> 12" BK 12" DWPyCNI� 36" CNI Other <br /> General condition of wellhead aFssembly: Excellent Fair poor <br /> Purging Equipment : 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer ><ZCentrifugal pump <br /> Sampled with: Disposable bailer: �-­Teflon bailer: <br /> Well Diameter: 2" / - 4" 6" Bit- <br /> Purge <br /> "Purge Vol: Multiplier: 0 . 16 0. 65 1 . 47 2 61 gal/ft <br /> initialMe su emen Recha a easurement Q <br /> Time: 4 Time: r Calculated purge <br /> Depth of well: Sf ' y Depth to water: y 3 / - Actual purge- <br /> Depth to water: Y 7 <br /> Start purge : - SS Sampling time:. <br /> Time Temp. E.C. pH Turbidity Volume <br /> l4 :S� S 7 . /4�9 La <br /> l 9 v 7 -2 / <br /> '� s 1?,- 7 19 <br /> ll - <br /> 04 "g • 7 'V ----- <br /> Sample appearance: Lock: <br /> Equipment replaced:replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock x'3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br />• Remarks: <br /> Signature: <br />