Laserfiche WebLink
SECQR International Inc <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# �G >`� � � PURGED BY WELL I D <br /> LIENT NAM1 SAMPLED BY SAMPLE I D <br /> LOCATION GU E�Z i s lLT.�� QA SAMPLES <br /> DATE PURGED START(2400hr) CND (24001,1) <br /> DATE SAMPLED 1-10 V6 / SAMPLE TIME(2400hr) 3 Z Z_ <br /> SAMPLETYPE Groundwater ✓ Surface Water Treatment Effluent Odict <br /> CASING DIAMETER 2- 3' !.,-' 4- 5-� G' 8` Other <br /> Casing Volume (gallons per foot) (0 l7) (0 38) (0 57) (t 02) (l 50) (2 G0) ( } <br /> DEPTH TO BOTTOM (feet) = pt J CASING VOLUME(gal) _ <br /> DEPTIi TO WATER(feet) = D CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pIq COLOR TURBIDITY <br /> (2400 r) (gal) (degrees F) (umbos/cm) (units) (visual) (NT-[I) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER_ 10 J SAMPLE TURBIDITY C �t <br /> 80% RECHARGE -YES NO ANALYSES <br /> ODOR SAMPLE VESSEL/ PRESERVATIVE �L <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Bailer PVC Centrifugal Pump Bailer( ,PVC or ' disposable) <br /> Centrifugal Pump (PVC) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other 011ier <br /> Pump Depth <br /> WELL INTEGRITY LOCK# _ 0L <br /> REMARKS O J <br /> Page of <br /> SIGNATURE _ <br />