Laserfiche WebLink
DOULOS ENVIRONMENTAL bXPANY SAI ING INFORMATION SHEET <br /> Client: amar Sampling Date: / <br /> Site: Beacon 1419 Project No. : 94-419-01 _ <br /> 2350 Waterloo Road Well Designation: MW- <br /> Stockton,_ CA_ <br /> Is setup of traffic control devices required? 145P YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? <19P If no, see remarks <br /> Is well cap sealed and locked? NO (yo If no, see remarks <br /> Height of well casing riser (in inches) : 3 <br /> Well cover type: 810 W 12 f1 w 1211 EMCO 811 BK <br /> 1211 BK 121i DWP 1211 CNI 3 611 CNI her I Z P o M r-�_ <br /> General condition of wellhead assembly: Excellent Fair Poor <br /> Purging Equipment: 211 disposable bailer X Submersible pump <br /> 21' PVC bailer Dedicated bailer <br /> 411 PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: s P Teflon bailer: <br /> Well Diameter: 211 411 6" 81' <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Eecharge Measure e„nt _ <br /> Time: a_,. s +_ Time: d Calculated purge: 3 ' �Gf <br /> Depth of well: 1P+,!- 5 Depth to water: Actual purge: -9' Ll..If <br /> Depth to water: 4-n. 9 b <br /> Start purge: j 0_= y9 Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> lZ9- Z ~1121 <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 /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 611 Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Siqnature : t -%r <br />