Laserfiche WebLink
LWATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> 0 PROJECT NO O67ly7 –n7 Z aL SAMPLE I'D M w-G <br /> EMCON PURGED BY UL cV CLIENT NAME LL• <br /> SAMPLED BY LOCATION ` -r4>C W--r <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 4 5 $ Omer <br /> CASING ELEVATION (feet/MSL) �� VOLUME IN CASING (gal ) 5• <br /> DEPTH OF WELL (feet) 4 CALCULATED PURGE (gal ) j a- 3 <br /> DEPTH TO WATER (feet) 3 j ' ACTUAL PURGE VOL (gal.) . <br /> DATE PURGED �o )f q �- End Purge 3 <br /> DATE SAMPLED - -- SampbTime <br /> e 5 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (units) (WMOS/a10 25'C) ('F) Msuawobalt) roviallm) <br /> 1 _ N (D --7L C)f� 1 <br /> 13513 q. C (0.93- 1 <br /> OTHERODOR �L I <br /> (COBALT 0-100) (XTU 0.200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) I <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2-Bladder Pump Bailer(Tenon®) 2'Bladder Pump Bailer(Teftne) <br /> Centntusal Pump sailer(PVC) Bomb Sampler Bader(Starbu Slee#) <br /> N .. Submersible Pump Basler(Stainless Steel) Dipper Submersiale Pump <br /> Well Wizard''" Dedicated well wizardry Dedicated <br /> Other Other <br /> WELL INTEGRITY &WD LOCK 8 -2-35-7 <br /> REMARKS WEL DWEb $ `DCIAL V L <br /> 14 ZD . SAmayg>)tyr, 1 A 2 <br /> pH.E C,Temp Meter Calibration Date 1 ells 0-Z— Time Meter Serial No <br /> E C 1000 l e?b 4 110 00 - pH 7 `1.0 4� / �,DO pH 109.�9 I 1�.00 pH 4 -3,324 1 <br /> Temperature ° F <br /> IL <br /> Signature �"�'"� Reviewed By- Page 7 of <br />