Laserfiche WebLink
DOULOS ENVIRONMENTAL INC. SAMPLING INFORMATION SHEET <br /> Client. Delta Env Sampling Date <br /> Site 2537 Waterloo Rd (1 009661__ Project No <br /> Stockton, CA Well Designation- _M VL Q— <br /> Is setup of traffic control devices required? time hours <br /> Is there standing water m the well box9 NS7 ove TO mow TOC <br /> Is top of casing cut level? NO emarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing neer(in inches) <br /> Well cover type 8"or 12"W 12"EMCO 8"or 12"EK 8"Chnsty <br /> 12"Chnsty8"M&D� 12"M&D 12"DWP <br /> 12"CNI 36"CW 12"Pomeeo Other <br /> General condition of wellhead assembly Excellent Good 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 Disposable Tubing <br /> Well Diameter 2"---- 4" 6" g» <br /> Purge Vol. Multiplier 0'16 065 147 2 61 gaUft <br /> Initial Measurement Rechar a Measurement <br /> Time _ 7/ Time- Calculated purge J <br /> Depth of well Depth to water -J 14 -6Actual purge- I <br /> Depth to water 3 <br /> Start purge O 6 Sampling time ' 2-3 <br /> Time Temperature EC I pH Turbidi Volume <br /> V6/ <br /> J 3 2- <br /> Sample appearance Lock- <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap. Lock 7/32 Allenhead. <br /> 4"Loclang Cap• Lock-Dolphin. 9/16 Bolt. <br /> 6"Lacking Cap Pinned Allenhead (DWP) <br /> Remarks. <br /> Signature. <br />