Laserfiche WebLink
DSF-'�LTNG INFORMATION SHEET <br /> OUL03 ENVIRONMENTA 'OMPANY <br /> Client: Ultramar <br /> Sampling Date: s <br /> Site: Beacon #474 Project No. : 94-474-01 <br /> Well Desnation: MW- <br /> 3440 E. Main Streiet g <br /> Stockton CA <br /> hours <br /> Is setup of traffic control devices required? YES YES tim e•TOC Below.TOC <br /> Is there standing water in well box? `NO M If no, see remarks <br /> Is top of casing cut level? If no, see remarks <br /> Is well cap. sealed and locked? NO AYES' <br /> Height of well casing riser (in inches) : -------12 3.211EMCO g1, BK-, <br /> Well cover type: 8" W----12�� CNI 6" CNI Other <br /> " <br /> 1211 BK 12DWP ____ � <br /> General condition of wellhead assembly: Excellent �ooa Fair Poor <br /> 2" disposable bailer Submersible pump <br /> Purging Equipment: ---211 PVC bailer Dedicated bailer <br /> 411 PVC bailer Centrifugal pump <br /> Sampled with: Disposal bailer: <br /> Teflon bailer:_ <br /> 6" Sit <br /> Well Diameter: 2" <br /> u -�, <br /> 0.65 1.47 2 . 61 gal/ft. <br /> Purge Vol. Multiplier: 0. 16 <br /> 'a easurement Bechar a MeasuremeDt 17 <br /> V6 Calculated purge: <br /> Time: �G' ,� Time: 6 ' 6 :t�V" <br /> Depth of well: -13 <br /> Depth to water: j <br /> 7- 70 Actual purge <br /> Depth to water: i-r <br /> Start purge: <br /> F sampling time: �' If <br /> Time Temp. <br /> E.C. pH Turbidity Volume <br /> 35 S ' 1 Yeo <br /> . ._. . <br /> �0 <br /> Sample appearance. <br /> Lock: � 7 <br /> 1 <br /> Equipment replaced: (Check-all -that- apply) Note-,condition of replaced -item <br /> p.11enhead:,,,,.._�_ <br /> 2" Locking Cap: Lock 03753:., 7/32 9/16 Bolt: <br /> 41, Locking Cap: Lock-Dolphin: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />