Laserfiche WebLink
a DOULOS ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar 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? TO YES time: hours <br /> Is there standing water in well box? Above TOC ow <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) : U <br /> Well cover type: 8" UV 12" UV 12" EMCO__X 8" BK <br /> 12" BK 12" DWP 12" CNI 36" CNI Other <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 /> 4" PVC bailer ___Centrifugal pump <br /> Sampled with: Disposal bailer:-k— Teflon bailer: <br /> Well Diameter: 2" 414 6" 8" <br /> Purge Vol. Multiplier: 0, 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measurement <br /> Time: Time: GtU� Calculated purge: �If <br /> Depth of well: eU . Z, Depth to water: '7�_Ql Actual purge: 37 T L <br /> Depth to water: 8 is I/ <br /> Start purge:_ 1 '� 7 Sampling time: 5 D <br /> Time Temp. E.C. pH Turbidity Volume <br /> C4 O LL z <br /> 73- -- 3 <br /> J-7 " <br /> Sample appearance: L i 2y� Lock: r <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 /> Remarks: <br /> 071 <br /> Signature: <br />