Laserfiche WebLink
WELL PURGING AND SANIPLMG DATA <br /> WELL NO �j _ Z <br /> DATE PROJECT NAME PROJECT NO <br /> WEATHER CONDITIONS <br /> WELL DIAMETER(IN) ❑ 1 ❑ 2 ❑ 4 ❑ 6 ❑OTHER <br /> I SAMPLE TYPE ❑GROUNDWATER ❑WASTEWATER ❑SURFACE WATER ❑OTHER <br /> WELL DEPTH (TOC) (a FT DEPTH TO WATER BEFORE PURGING (TOC) 4q.fl FT <br /> LENGTH OF WATER FT CALCULATED ONE WELL VOLUME' (,,5S ( 1-7s)GAL <br /> PURGING DEVICE DEDICATED DISPOSABLE DECONTAMINATED <br /> SAMPLING DEVICE ❑ DEDICATED ❑ DISPOSABLE ❑DECONTAMINATED <br /> EQUIP DECON ❑TAP WATER WASH ❑ ISOPROPANOL ❑ANALYTE FREE FINAL RINSE <br /> ❑ ALCONOX WASH ❑ DIST/DEION 1 RINSE ❑OTHER SOLVENT ❑ DIST/DEIGN FINAL RINSE <br /> ❑ LIQUINOX WASH ❑ DISTIDEION 2 RINSE ❑TAP WATER FINAL RINSE ❑AIR DRY <br /> CONTAINER PRESERVATION ❑ LAB PRESERVED ❑FIELD PRESERVED <br /> WATER ANALYZER MODEL SERIAL NO <br /> ACTUAL CUMUL TEMP SPECIFIC pH DISS TURBIDITY WATER REMARKS <br /> TIME VOLUME ❑OF CONDUCT OXYGEN (NTUs) APPEAR (EVIDENT ODOR COLOR PID) <br /> (MIN) PURGED Cl°C CL=CLEAR <br /> (GAL) CO=CLOUDY <br /> TU=TURBID <br /> �,3y INITIAL T1.3 <br /> 1146 7 -12,4 13- <br /> Ac t 9 9 7 <br /> DEPTH TO WATER AFTER PURGING (TOC) FT SAMPLE FILTERED ❑ YES ❑NO SIZE <br /> NOTES SAMPLE TIME ID# <br /> DUPLICATE D. TIME ID# <br /> EQUIP BLANK ❑ TIME ID# <br /> PREPARED BY <br /> PSI 'A 1 FOOT LENGTH OF WATER=0 05 GAL IN 1 DIA PIPE 0 17 GAL IN 2"DIA PIPE 0 65 GAL IN 4"DIA PIPE 1 5 GAL IN 6"DIA PIP <br /> Rev 12195 <br />