Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING IINFORMATION SHEET <br /> Client: Ultramar Sampling Date: ('7 _ � <br /> • Site: Beacon #419 Pro3ect No. : 94-419-01 <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? O YES Above TOC Below TOC <br /> Is top of casing cut level? NOIf no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : <br /> Well cover type: 8" UV 12" W 1211 EMCO_ _ 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI her <br /> General condition of wellhead assembly: Excellent Goo 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:- Teflon bailer: <br /> Well Diameter: 2" f 411 6If 8n <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharae Measurement ' C G� <br /> Time: 6 Time: /! ' V-'2 Calculated purge - � � <br /> Depth of well: �c 3 Depth to water: ' lQ Actual purge:? ,� <br /> Depth to water: '-f <br /> N <br /> Start purge:-1r - 3 6 Sampling time:- <br /> Time Temp. E.C. pH Turbidity Volume <br /> 1 . <br /> Sample appearance: Lock- <br /> Equipment <br /> ock:Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead: <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt:. <br /> 6" Locking Cap: Pinned Allenhead (DWP) : � <br /> Remarks: <br /> Signature: <br />