Laserfiche WebLink
DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Sampling Date: -q7 <br /> • Site: ���-�� �q Project No. : <br /> Well Designation: <br /> Is setup of traffic control devices required? YES time: hours <br /> Is there standing water in well box? Y S Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO E If no, see remarks <br /> Height of well casing riser (in inches) : _1 <br /> Well cover type: 8" UV 12" UV 12" EMCO the <br /> 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI then <br /> General condition of wellhead assembly: Excellent 05-654 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" 4" 6" all <br /> Purge Vol. Multiplier: 0. 16 0. 65 1. 47 2 .61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: 440 Time: sbz_ Calculated purge: 6�� <br /> Depth of well: X5_1- Depth to water:_& Actual purge: s i <br /> Depth to water: Ns.76 <br /> Start purge: S�u - Sampling time: 663 <br /> Time Temp. E.C. pH Turbidity Volume <br /> iid 1,Z N- 7?kJ <br /> 6941, 11..,E 7�0 <br /> 5S6 <br /> bop 6q,�' /j� 7uf "T <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 /> 0 Remarks: <br /> Signature: <br />