Laserfiche WebLink
07/25/2000 11 16 9167829054 DOULOS PAGE 02 <br /> DOULOS ENVXRONMENTtA..L COMPANY SAMPLING INFORMATION SHEET <br /> Client:-4t, Sampling nate: <br /> Site: 4 �-� ,,.,._ � Project No. _ <br /> Well Designation: J_ U✓-Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? Above TOC Below TOC <br /> Is top or casing cut level? NO If no, see remarks <br /> Is well cap seaLid and locked"> N YE If no, see remarks <br /> Height of well casing riser (in inches) : f(/'/. <br /> Well cover type 8R1 W 12" UV12" EMCO <br /> 12" BK 1211 DWP____-- 1211 CNI 36" CNI Other <br /> General condxtio-i z)f wellhead assembly: Excellent Good Fair Poor <br /> Purging Equipment 211 disposable bailer Submersible pump <br /> 211 PVC bailer Dedicated bailer <br /> 4" PVC bailercentrifugal pump <br /> Sampled with: . ,Disposable bailer;_,%_ Teflon bailer: <br /> Well Diameter: 211_k— 411 6" g" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br />• Initial Measurement ReS;hargg eagurement <br /> Time: Time. calculated purge: /jsl <br /> Depth of well: Depth to water: z Actual purge: io• <br /> Depth to water: )1. `L? <br /> Start purge: Sampling time; <br /> Time Temp. E.C. pH Turbidity Volume <br /> /017 E��, ' 7 / <br /> /0 J J Ll !� 7, 2 <br /> r <br /> /00 <br /> I <br /> Sample appearance: _AQP Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2f1 Locking cap. Lock #3753: 7/32 Allenhead: <br /> 4" Looking Cap. _ Lack--Dolphin; 9/16 Bolt: <br /> 611 Locking Cap: - P3.nned Allenhead (DWP) : <br /> Remarks: <br /> a � <br /> Signature: <br />