Laserfiche WebLink
l <br />QUARTERLY GROUNDWATER SAMPLING FORM" 'n <br />CLIENT S C t/ CD <br />SITE S <br />DATE Ix It, I el <br />WELL NUMBER <br />SAMPLER SIGNATURE <br />WELL DESCRIPTION: <br />Casing Diameter 2 4/ 6 1 8" <br />Locked 6> N KEY NO <br />3 z/ p <br />Casing n ct Damaged <br />Concrete Seal nta /Damaged <br />WATER COLUMN DESCRIPTION: <br />Floating Layerf,Y N Thickness (in) <br />Sampl Y)N HNU/OVM Reading in well: <br />Depth to well bottom <br />Depth to water surface (avg <br />11, 7 <br />Standing Water Column <br />Well Diameter Factor <br />(2" 0 17, 4. 0 65, 6" 1 47, 8" <br />2 61) <br />One Well Volume <br />2. y <br />Volumes to be removed <br />3 <br />Gallons to be removed <br />PURGE MEASURENUMS: <br />vnt <br />Purge Device <br />Purge Rate (gpm) <br />Turbid <br />Volume Temp <br />Time (gal) °C <br />Sp Cond Odor YIN <br />pH (uMhos) YIN Alkalinity Color HNu/OVM <br />XO 13 1 24 <br />G 5 Y7o <br />p 3 a`f <br />7. / <br />CA <br />SAMPLINGIANALYTICAL INFORMATION: <br />Sampling Methala ump / Other <br />Dedicated Y <br />Sample Number li — Z <br />Sample Time /D -15 <br />Duplicate Y / NO Duplicate <br />Sample Number <br />Sampling Parameters <br />Analyte Method <br />Container Volume # Bottles <br />Holding <br />Preservative Time <br />13 Fx <br />NOTES; <br />02l14W <br />S ILI'MQUESECOR WP <br />