Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY S.u4PLING INFORMATION SHEET <br /> • Client: Ultramar. Sampling Date: 3 <br /> Site: Beacon- f-474- .__ �. Project Na. 94-474-01 <br /> 3440 E. Main Street Well Designation: Mw- 7 <br /> Stockton CA <br /> Is setup of traffic control devices required? 16, YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? If no, see remarks <br /> Is well cap sealed and locked? NO 45 If no, see remarks <br /> Height of well casing riser (in inches) : -3 <br /> Well cover type: 8 to W 12 It UV _ 1211 EMCO 8'r BK <br /> 1211 BK 1211 DWP 1211 CNI 3600 CNI Other <br /> General condition of wellhead assembly: Excellent C Fair Poor <br /> r.wrrri..rw - i�u^� <br /> Purging Equipment: 211 disposable bailer Submersible pump <br /> 211 PVC bailer Dedicated bailer <br /> 411 PVC bailer _Centrifugal pump <br /> Sampled with: Disposal bailer:r2�- Teflon bailer: <br /> Well Diameter: 211 419 611 Sri <br /> Purge Vol. Multiplier: 0. 16 0. 65 , 1. 47 2 . 61 _ gal/ft. <br /> WInitial Measurement Rechar a Measurement <br /> Time: q : /0 Time: 10 . t G� Calculated purge: <br /> - t Actual purge: / <br /> Depth of well : Depth to water: ' <br /> Depth to water: S y 61 l <br /> Start purge:_ r'0 Sampling time: �- <br /> Time Temp. E.C. pH Turbidity - Volume <br /> !6 1 -i v -�--- <br /> �� ►fib �� f � � ��f - I " �� �•` <br /> r <br /> Sample appearance: = ��� Lock: '�- <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 211 Locking Cap: _ - Lock #3753 : 7/32 Allenhead: <br /> 411Y Locking Cap Lock-Dolphin: , 9/16 Bolt':- Y <br /> Err Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature-: <br />