Laserfiche WebLink
DOULOS ENVIRONMENTAL INC. SAMPLING INFORMATION SHEET <br /> Client- Delta Env Sampling Date. 2• �'"" ! <br /> Site 2537 Waterloo Rd 100966Protect No <br /> Stockton, CA Well Designation- <br /> Is setup of traffic control devices required? YES time hours <br /> 13 there standing water iii the well box? 1!55 FVR'Q Above TOC Below TOC <br /> Is top of casing cut levet? NO If no,see remarks <br /> Is well cap sealed and locked? NO U <br /> If no,see remarks <br /> Height of well casing riser(in niches) <br /> Well cover type 8"or 12"UV 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy 8"NI" 12"M&D 12"DW <br /> 12"CNI 36"GTR 12"Pomeco 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"QVC bailer Centrifugal Fume <br /> Sampled with Disposable bailer_T^ Teflon bailer Disposable Tubing_ <br /> Well Diameter 2" 4"_ 6" $" <br /> Purge Vol Multiplier- 016 065 1.47 2 61 gaUft <br /> Initial Measwmement Recharge Measurement f <br /> Time Time /I-D,07 Calculated purge <br /> Depth of well Depth to water S !% Actual purge <br /> Depth to water <br /> Start purge !! S Z Sampling time 1 Z,/Q <br /> Time Temperature EC pH Turbidity Volume <br /> 1 <br /> 20- 0 <br /> 0"A.� . <br /> r <br /> Sample appearance ' Lock <br /> Equipment replaced (check all that apply) Note condition of replaced item(s) <br /> 2"Locking Cap. Lock 7132 Allenhead <br /> 4"Locking Cap Lock-Dolphin. 9116 Bolt. <br /> 6"Locking Cap Pinned Allenhead(DWP) <br /> Remarks. a17 P I el <br /> Signature' <br />