Laserfiche WebLink
Y MDOULOS ENVIRONMENTAL -'OMPANY SA( SING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: <br /> MSite: Beacon V641 'Project No. : 98-641-01 <br /> 1220 East Hammer Lane Well Designation:'✓ <br /> Stockton CA None <br /> Is setup of traffic control devices required? YES time <br /> e. hours <br /> TOC Below TOC <br /> Is there standing water in well box? NO If no, see remarks <br /> Is top of casing cut level? ? NO E If no, see remarks <br /> Is well cap sealed and locked. -�' f <br /> Height of well casing riser (in inches) . 12" CO� g" BK <br /> Of Well cover type: 8" W� CN 12 ) --3„ CNI. Other <br /> 12„ BK 12" DWP y2�,l sse Excellent ` Fair Poor <br /> General condition of wellhead assembly: mO <br /> 2" disposable bailer Submersible pump <br /> Purging Equipment: Dedicated bailer <br /> r^�2" PVC bailer _____Dedicated <br /> pump <br /> 4" PVC bailer <br /> Sampled with: Disposable bailer: <br /> 5 Teflon" <br /> 4 bailer: <br /> �_ 6 <br /> 2 a <br /> Well Diameter: " --� <br /> 0, 65 1.47 2 . 61 gal/ft. <br /> Recharae <br /> Purge Vol. Multiplier: 0. 16 Measurement <br /> �nit ' al Measurement Calculated purge.��y <br /> Time: 2, C-) Time:5 atera er : Actual purge: a p+ <br /> Depth of well: to water : <br /> w <br /> Depth to water <br /> Start purge: � <br /> Sampling time: <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> v (o 7 o7' <br /> 10'—! <br /> ---� <br /> z <br /> 3 4- <br /> . 31 (0 -5- 1 r" 71 C) <br /> Sample appearance : <br /> Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> Lock #3753 :_ 7/32 Allenhead: <br /> 21! Locking cap: - Lock-Dolphin:- 9/16 Bolt: - <br /> 4 Locking Cap: Pinned Allenhead (DWP) : <br /> 6" Locking -Cap: <br /> Remarks: <br /> Signature- <br />