Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Sampling Date: <br /> • Site: Beacon #419 Project No. : 94-419-01 <br /> 2350 Waterloo Road Well Designation: MW- i <br /> Stockton CA <br /> Is setup of traffic control devices required? O YES time: hours <br /> Is there standing water in well box? YES Above TOC Below TOC <br /> Is top of casing cut level? N E If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : /I- <br /> Well <br /> LWell cover type: 8" UV 12" UV_ 12" EMCO 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNIthey <br /> General condition of wellhead assembly: Excellent oo Fair Poor <br /> Purging Equipment: _2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 411 PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer: Teflon bailer: <br /> Well Diameter: 2" 4" 6" 8" <br /> Purge Vol. Multiplier: 0. 16 0. 65 1.47 2 . 61 gal/ft. <br /> Affinitial Measurement Recharge Measurement <br /> me: /.5-a Time:_ S, ! Calculated purge: S,2- <br /> Depth of well: s6 .jz Depth to water: -der, i j Actual purge:. -.-- ,1 <br /> Depth to water: S-h r r. <br /> Start purge: A / 6 Samp1ing time: 3 3 Z <br /> Time Temp. E.C. pH Turbidity Volume <br /> 3 / ,�, 20. 3 zo1 <br /> 3 / L 6- <br /> 6S,� <br /> Sample appearance: Lock: <br /> 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 /> 1wemarks: <br /> Signature: ✓ /' <br />