Laserfiche WebLink
Groundwater Sampling Form <br /> Project Name _ �' Wei No Gc,�, <br /> Project Number C ^ f Wel Type BMonitor []E+vacti Other <br /> Recorded By `!�r./ Sampled L^1r �lf pate _� J�, r <br /> n }< WELL PURGING <br /> PURGE VOLUME < ',F,PURGE V4ETHOD <br /> Well casing dameler 06affer-Type <br /> 2-inch [;� 4-rnch (]other OPump.Type <br /> Wel Total Depth(TD,ft.below TOC) []Other <br /> e 1h to Water MI,ft below TOCI f, )7 A! '/ PUMP INTAKE• <br /> ,Depth I o free phase hydrocarbons FE' ft belowTOC Neartop Depth(ft) <br /> Number of well volurnes10 be pur e4 Near Bollorrl Depth(11) <br /> 3 10 �Othrr Other <br /> PURGE VOLUME CALCULATION Pumping Rase gpm <br /> )-7, V Z x X Is aal <br /> Water CoIxnn Length Muripl+er No Vols CALCULATED PURGE VOLUTAE <br /> fAULT1PCIER Cesin Dialinch,*1=Ganon& near' aat <br /> 2-0 1713 z 0 3814=065 145=063 15=102 6= 15 18=16 ACTUAL PURGE VOLUME <br /> GF2OUNDWATER PARAMETER MEASUREMENT, Mefer Ty,,e �%/7�•'� <br /> TimelGanons pH Cond Temp LJdeq C Turbidity Color/Odor <br /> uomhos,crn) 1)!Ne2 F fNTLA <br /> ! r i Z71, 2- J >Ztv <br /> h L� / Z 1 i' G ' I /r <br /> r IZ, 2 1 -ILL' <br /> r <br /> i <br /> ' I <br /> a <br /> Comments dunng wen purge <br /> Well Pumped dry YESNO� Purge%va'er stxayerd'sposal Drum-ned onsite Other <br /> - WELL SAMPLING <br /> SAMPLING 1:ETHOD Date/Time Samp+ed 11—d ! 2f-106 <br /> Sailer-Type ® �1� ( Sample port � Other <br /> GROU=VATER SAtiPLE PARAMETER MEASUREMENTS Meter Type , <br /> Dzte.Mmel96 Rechar;e pH Con' Temp deft C Turb+duy Color/Odor <br /> uo C nslem deo F NTU <br /> 1 / � <br /> SAMPLING PROGRAM <br /> Sample Na lConiziner VVolume Arah-s s I Preservatives L-250r2lotY mments <br /> l k 'i <br /> ' ! T L ' <br /> L, 14I <br /> n <br /> �G1 <br /> QUALI7Y CONTTR&SAMPLES'. <br /> 0 riczle Samples Stank Sam les <br /> Original Sample No Du ricale Sample No Samnle No <br /> Tn <br /> Rmsale <br /> i <br /> Transfer <br /> Other <br />