Laserfiche WebLink
DOULOS ENVIRONMENTAL INC. SAMPLING INFORMATION SHEET <br /> Client Delta Env Sampling Date 'S`® 'err <br /> • Site 2537 Waterloo Rd 100966 Protect No <br /> Stockton, CA Well Designation ! <br /> Is setup of traffic control devices required9 YES time hours <br /> Is there standing water in the well box? Above TOC Below TOC <br /> Is top of casing cut 1evel9 NO If no,see remarks <br /> Is well cap sealed and locked? NO If no,see remarks <br /> Height of well casing riser(m inches) <br /> Well cover type 8"or 12"W 12"EMCO 8"or 12"BK 8"Chnsty <br /> 12"Christy 8"M&D 12"M&D 12"DWP <br /> 12"CNI 36"CNI 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"PVC bailer Centrifugal pump <br /> Sampled with Disposable bailerSoo_ Teflon bailer Disposable Tubing <br /> Well Diameter 2" 4" kf_ 6" 81)-- <br /> Purge <br /> "Purge Vol Multiplier 016 665 147 2 61 gal/ft <br /> Initial Measurement Recharge Measurement <br /> Time '� Time 72 . r3 Q Calculated purge <br /> well * Depth to water <br /> Depth of >� Actual purge <br /> Depth to Water 61 Z <br /> Start purge Sampling time 2 <br /> Time Temperature, E C gH Turb Volume <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-Dolphm. 9/16 Bolt. <br /> 6"Locking Cap Pinned Allenhead (DWP) <br /> Remarks <br /> Signature <br />