Laserfiche WebLink
G� tob7829054 <br /> DOULO5 PAGE 09 <br /> SAMPLING INFpF ,4TION SH <br /> Client: <br /> EET_ <br /> sampling Date: <br /> Site 5th <br /> P Project No. : <br /> Well Designation• <br /> Is setup of traffic control devices required? <br /> Is there standing water in well box? <br /> Is to YES time:�� hours <br /> p of casing cut level? 'V ' S Above TOC Below TOC <br /> Is well cap sealed and locked? NO <br /> Height of well easing riser 1 If no, see remarks <br /> NOt7 if no, see remarks <br /> Well cover type: $„ ( n inches) : �! <br /> _K 12 DWP 12 Uv12" EMC0 ..._ $„ $K <br /> Gene12 11 ral condition ofwellhead <br /> � 12', cNI "` 1, CNI -4-- <br /> of w lhead assembl � 36 lle— Other <br /> Y: Excellent Fair Poor <br /> Purging Equzpn_,r,* : —211 disposable bailer <br /> 211 PVC bailer —Submersible pump <br /> —_4" PVC bailer Dedicated bailer <br /> Sampled with: Disposal. bailer: ;?-&- —Centrifugal pump <br /> Teflon bailer: <br /> Well Diameter: 2"-7�1 n <br /> 611 all <br /> Purge Vol. Multiplier: 0. 16 <br /> itial Measurement 0. 65 1.47 2. 61 gal/ft. <br /> Time : Rech.,a e M ure t <br /> Depth of well :_-�Q . s Time: calculated purge: I 'Z <br /> S Depth to water: d� Oaf <br /> Depth to water: Actual purge <br /> Start purge.: <br /> -`- Sampling time: : 2 <br /> Time Temp, B. C. <br /> pN Turbidity Volume <br /> it <br /> b <br /> -;rte <br /> Sample appearance: � <br /> Lock: A4,9 S f F I?-- <br /> Equipment zeplac.ec3; (Check all that a 1 Note condition of replaced item <br /> 2" Locking cap, PP Y) <br /> 4" Lacking Cap: Lock 13753: � 7/32 Allenhead: <br /> 6 "Locking Cap: Lock-Dolphin:� <br /> Pinned Allenhead �7Wp <br /> � t�� <br /> Remarks: ( ) •�� <br /> Signature: <br />