Laserfiche WebLink
Groundwater Sampling Form <br /> Project Came t14o W CµAR'-EP. wY - Well No M-0-I <br /> Protect Number g502-ste• Zs Well Type '---Q1Jondor []Extraction []Other _ <br /> Recorded By pig Sampled by Sa Date Z L. <br /> WELL PURGING <br /> PURGE VOLUMJ,E, PURGE IJIETHOD <br /> Well casing diameter Bailer Type <br /> ❑ 2-inch F4-rnch []Other <br /> Pump-Type F� <br /> Well To' Depth(TD,It below TOC) �i�l r4 '119[]Other <br /> De:)!h to Water L It below TOC sT� too PUMIP INTAKE <br /> Deo,h to.free abase_hydro-arbons(Fo.n below TOC1 Near top Depth(ft) <br /> Number o well volumes to be puroed Near Bottom Depth(Y) �� <br /> 3 ❑ 10 Other Other <br /> PURGE VOLUME CALCULATION Pumping Rale aim <br /> i3 X X Flo - DaI <br /> Wa'er CD1Jr1n Leng'h M,a lipl er No Vols CALCULATED PURGE VOLUMJ,E <br /> 1✓UL31PL1ER Casin D.a ir}aes =Galb�sninear ft Z� ea, <br /> 2=0173=0384 =06645=DE3 5= 102 6=1518=Z6 AGPUALPURGEVOLUMJE <br /> GROUNDWATER PARAMETER td+EASUREMENT !,deter T?re MylzC4 L-pp5 <br /> Time/Gallons py Cond Temp Ideg C Turbpdrty Colorf0dor <br /> fuomh"Ic-ndeo F LN'TU <br /> 2L}o_)� ("-7 P, 1_Caa <br /> 7_4 L)D f <br /> / <br /> Comments during well purge <br /> YJell Pumped dy YES(ED Purge v.ter s'o pgeld-sposal []Drummed onsde Other 're-KAcp <br /> WELL SAMPLING <br /> SAMPLING METHOD DaleJitme S2mpied Z1it. /qr, / ,ZI;6 <br /> Ea ler-T)pe'❑ _S-,,$ Sample port ❑ Other [� <br /> GROUNMVATER SAM;PLE PARAMETER MEASUREMENTS Meter Type <br /> Dv emmei% Reavge pH Cond Temp deg C Turbpdsty Color/Odor <br /> uomhcslcm deo P NTU <br /> SAMPLING PROGRAM <br /> Sam le No le onlamer Afolume Analvs,s Preservatives Labor2lory Comments <br /> 3 / q6 tit 4;A TPN- E, t;Gt 8G <br /> f <br /> QUALITY CONTROL SA40PLES <br /> Du Gcate Samples Blank Samples <br /> Sa <br /> Ono=rsal m le No Du Micate Sample No T Sam le No <br /> Trip <br /> Rrnsate <br /> Transfer <br /> Other <br />