Laserfiche WebLink
Q ' <br /> WATER SAMPLE FIELD DATA SHEET Rev. 5/96 <br /> r 1 <br /> PROJECT NO : SAMPLE ID : <br /> PURGED BY : CLIENT NAME : <br /> 0 WT SAMPLED BY : LOCATION : <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER {inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION (feeVMSL) : VOLUME IN CASING (gal.) : <br /> DEPTH OF WELL (feet) : CALCULATED PURGE (gal.) : <br /> DEATH OF WATER (feet) . ACTUAL.PURGE VOL. (gal.) : <br /> DATE PURGED : END PURGE : <br /> DATE SAMPLED . SAMPLING TIME : <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal.) (units) (pmhos/cmaD25•c) ('F) (visual/NTU) (2400 HR <br /> OTHER: ODOR: <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1,XDUP-1) : <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2" Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardT" Dedicated Well Wizard T" Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH, E.C.,Temp. Meter Calibration:Date: Time: Meter Serial No.: <br /> E.G. 1000 / pH 7 <br /> pH 10 I pH 4 ! <br /> Temperature "F <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> FIGURE <br /> E M C O N WATER SAMPLE FIELD DATA SHEET A-2 <br />