Laserfiche WebLink
Groundwater Sampling Form <br /> Otoject Name ` 2x Well No <br /> Project Number` }� 3 0_ _y-( 0 1 Well T <br /> .,. ype MonRor ❑EJdrdCLOn []other <br /> Retarded <br /> By jj r _ Sampled by rC, Date a-U l `1 <br /> WELL PURGING <br /> PURGE VOLUME PURGE METHOD <br /> Well casing dta iter ❑Bailer-Type <br /> ❑ 2-inch 4-4nCh ❑Other Pump-Type <br /> Well Total Depth(TO,ft below TOC) _ �/ b o []Other <br /> DeDth to Water 1W L ft below TOC PUMP INTAKE <br /> De th to free hase hygrocarbons FP h below TOCI Near top Depth(ft) <br /> Numbera well volumes to be p ed `, Near Bottom Depth(ti) y T- <br /> 03 <br /> o <br /> I ❑ 3 ❑ 10 ther �I Other <br /> PURGE VOLUME CALCULATION Pumping Rate gpm <br /> �o 1- X 6 X <br /> Water Column Length MuMpfer No Vols CALCULATED PURGE VOLUME <br /> MULTIPLIER(CasinR Dia inches =Gallons/fnear ft / a' al <br /> 2=0173=038 14=066 145=083 15=1 02 16=15 18=26 ACTUAL PURGE VOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type So 1 r <br /> TimelGallons pH Cond Temp deg C Turbidrty Color/Odor <br /> uomhas/cm Ndw F )'W fNTLn <br /> 13 0'1 . l 17 a s— <br /> liq <br /> r � <br /> r 4 F' 1 9 n <br /> f <br /> f Comments during well prNO) <br /> WeU Pumped dry- YES Purge water storage/disposal ❑Drummed gristle Other <br /> WELL SAMPLING <br /> i SAMPLING METHOD Date/Trme Sampled f a �)_of A / 17-30 <br /> Batter-TypeLEV Sample port ❑ Other <br /> I! GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type f 1 <br /> Daterrtmef%Recharge pH Cond Temp deg C Turbidity Color/Odor <br /> uomhos/cm deg F fJ'CU <br /> l SAMPLING PROGRAM <br /> Sample No Container#Nolume Ana Is I Preservatives Laboratory Comments <br /> jq L <br /> I <br /> I <br /> fr QUALITY CONTROL SAMPLES <br /> I <br /> Duplicate Samples Blank Samples <br /> On Incl Sam le No Dy Eicate Sample No T Sample No <br /> Trip t <br /> Rlnsate If <br /> Transfer <br /> I <br /> l Other- I <br />