Laserfiche WebLink
DOULOS ENVIRONMENTAL -OMPANY SAM. ,ING INFORMATION SHEET <br /> Client:_ Ultramar Sampling Date:- / Z,_T��� <br /> iSite: Beacon #419 Project No. : - - <br /> 2350 Waterloo Road Well Designation: MW- _ <br /> Stockton. CA <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO3 If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 00. 12" UV 12" EMCO 8" BK <br /> 12" BK 12" DWP ��CN1 36" CNI Other <br /> General condition of wellhead , <br /> Excellent QCg5MD Fair Poor <br /> Purging Equipment: 2" disposable bailer _Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: e PP Teflon bailer: <br /> Well Diameter: 2" 4" /k, 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0.65 1. 47 2 . 61 gal/ft. <br /> gWnitiAl-Measu ement Rechar a Measurement <br /> ime: -7 ' `3 6 Time:_- a Y3 Calculated purge:9�K/ <br /> Depth of well: Of y`� Depth to water: Actual purge: <br /> Depth to water: y '2 1- <br /> start purge: ! d ' I-C' Sampling time:��,o 'YL- <br /> Time <br /> YYTime Temp. E.C. pH Turbidity volume <br /> 10 . Lf 7.54 <br /> t o - 3 v s9 / y 9 7 • a <br /> ^ 2 07G 7 9v 3 <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 13753 : 7/32 Allenhead: <br /> 411 Locking Cap: Lock-Dolphin: 9/16 Bolt:_ __ <br /> 6" Locking Cap: Pinned Allenhead (DWP) :_,,,�_ <br /> iRemarks: <br /> Signature: <br />