Laserfiche WebLink
J� Gr gndwater Sampling Form <br /> Ot,)ject Name ( (�7 C�rO G[c'?`t7 Welt No hi w -�I7 <br /> _ <br /> Project Number Well Type r��'t�yvtondor ❑ExVact,an []Other <br /> Recorded By � Sampled by -Ar Date <br /> WELL PURGING <br /> PURGE VOLUME P RGE METHOD <br /> Well casing dtamet Bader-Type �r Lo o j <br /> ❑ 2-nch F 4-4nch ❑Other — ❑Pump-Type <br /> Well Total Depth(1'D,R below TOC) []Other <br /> Depth to Water L ft below TOC Ql 2 PUMP INTAKE <br /> D h to free phase hygrocarbons FP R below TOC Near tap Depth(R) <br /> Number of well volumes to be puear Bottom Depth(ft) <br /> r ed <br /> ❑ 3 ❑ 16 the, Other <br /> PURGE VOLUME CALCULATIONrr 1 V5 Pumping Rate • 5 gpm <br /> �1 1 ci X fo X q _ <br /> Water Column Length Multiplier No Vols I CALCULATED PURkjE VOLUME <br /> MULTIPLIER(Cafinp Dta ruches =Gallons/Gnear R <br /> 2=0173=038 4=066 45=083 f 5=102 5= 15 18=26 ACTUAL PU EVOLUME <br /> GROUNDWATER PARAMETER MEASUREMENT Meter Type SOL ev/S-T <br /> Time/Gallons pH Cond Temp deg C Turbtdrty 1 5 lor/Odor <br /> uomhos1cm d F NTU <br /> 1 l o-21,0 <br /> l <br /> ;2.0-5, 1 zo <br /> l <br /> I l <br /> l <br /> 41� Cornments dunng well purge qr '- <br /> Well Pumped d S NO Purge water storageldisposal ❑Dru med onsde a ther ��/*Fm7b <br /> WELL SAMPLING <br /> r ird <br /> i SAMPi1NG METHOD p DatelTtme Sampled <br /> I Bader-Type /S/QS/11 � Sample port ❑ Other <br /> GROUNDWATER SAMPLE PARAMETER MEASUREMENTS Meter Type <br /> i <br /> 4 DatefTime/%Recharge pH CondTemp eg C Turbtdrty Color/Odor <br /> I uomhos/cm <br /> d F NTU <br /> I <br /> i � O O, ! 4 <br /> I SAMPLING PROGRAM <br /> Sample No Containerf:Nolume Analysts Preservativestahorato Comments <br /> I I 1 I <br /> i <br /> ! QUALITY CONTROL SAMPLES <br /> Duplicate Sam les Blank Samples <br /> Oncinal Sample No Duplicate Sample No T Sample No <br /> I <br /> Trip <br /> 3 <br /> Rtnsate i <br /> Transfer I <br /> Other I ' <br />