Laserfiche WebLink
DOULOS MMIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> f Client: 21tramar Sampling Date: <br /> Site: Beacon 4 Project No. : 94-419-01 <br /> 50 Waterloo R2ad Well Designation: mw-4 <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? IN 041CIf no, see remarks <br /> Is well cap sealed and locked? NOV If no, see remarks <br /> Height of well casing riser (in inches) : µ <br /> Well cover type: 8" UV 12" W� 12" EMCO 8" BK- <br /> 12" BR 12" DWP` 12" CNI_ 36" CNI 40t <br /> hen <br /> General condition of wellhead assembly: Excellent Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer _Dedicated bailer <br /> 4" PVC bailer ___,r_Centrifugal pump <br /> Sampled with: Disposable bailer: Teflon bailer: <br /> Well Diameter: 2" 4" 4L 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2.61 gal/ft. <br /> Heasurgment Recharge Measurement <br /> Time: // /a Calculated purge: <br /> Depth of well:_674r_ Depth to water: L Actual purge <br /> Depth to water: L450c <br /> Start purge: 5 Sampling time: <br /> Time Temp. E.C. pH Turbidity Volume <br /> l l O p 6� f 1. f �---- <br /> � ld�f s1. Ilo� 73/ <br /> rlo � 6i � lob ?31 � <br /> Sample appearance: C2kf,r - Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock 13753 : 7/32 Allenhead: ` <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : . . <br /> Remarks: <br /> Signature: <br />