Laserfiche WebLink
rl k <br />WATER SAMPLE FIELD DATA SHEET Rev 596 <br />PROJECT NO <br />5116 PURGED BY <br />SAMPLED BY <br />TYPE Groundwater Surface Water <br />CASING DIAMETER (inches) 2 3 4 <br />SAMPLE ID <br />CLIENT NAME <br />LOCATION <br />Leachate Other <br />45 6 Other <br />CASING ELEVATION (feet/MSL) <br />VOLUME IN CASING (gal) <br />DEPTII OF WELL (feet) <br />CALCULATED PURGE (gal) <br />DEPTH OF WATER (feet) <br />ACTUAL PURGE VOL (gal) <br />DATEPURGED <br />DATE SAMPLED _ <br />TIME VOLUME <br />(2400 HR) (gal ) <br />OTIiER <br />pH <br />(units) <br />_ ENDPURGE <br />SAMPLING TIME <br />EC TEMPERATURE TURBIDITY TIME <br />(µmhos/cm@25°c) (°F) (visuallN U) (2400 HR) <br />ODOR <br />(COBALT 0-100) (NI'U 0 200) <br />FIELD QC SAMPLES COLLECTED AT THIS WELL ( i e FB -1, XDUP-1) <br />PURGING FOUIPMENT <br />SAMPLING EQUIPMENT <br />2" Bladder Pump <br />Bailer (Teflon) <br />2" Bladder Pump <br />Bailer (Teflon) <br />Centrifugal Pump <br />Bader (PVC) <br />Bomb Sampler <br />Bailer (Stainless Steel) <br />Submersible Pump <br />Bailer (Sial nless Steel) <br />Dipper <br />Submersible Pump <br />Well Wizard'" <br />Dedicated <br />Well Wizard— <br />Dedicated <br />Other Other <br />WELL INTEGRITY LOCK <br />REMARKS <br />pH, E C , Temp Meter Calibration Date Time Meter Serial No <br />EC 1000 , / ^ pH 7 / pH 10 / pH 4 1 <br />Temperature °F <br />SIGNATURE REVIEWED BY PAGE OF <br />FIGURE <br />INTERNATIONAL <br />TECHNOLOGY WATER SAMPLE FIELD DATA SHEET A-2 <br />CORPORATION 1 11 <br />