Laserfiche WebLink
' � w <br /> GROUNDWATER SAMPLE COL LECIZON DATA FORM <br /> SAMPLE I D NO . ai tj— I WELL NUMBER. <br />' DATE/TIME y - 8- 9 Z /1 , -j WEATHER: �,.., <br /> ANALYSIS. sofa aMd or3AM,r rib <br />' WELL PURGING DATA: FILTERED? Yes ©o <br /> Initial depth to water* Filter Device: In-line <br />' Depth of well: Filter barrel <br /> Volume of water in well: Lab <br />' Dateltime at start of purging: Other <br /> Method of purging: <br /> Method of Decontaminating <br /> purging equipment: <br /> s <br /> WATER QUALITY OBSERVATIONS DURING PURGING: <br />' <br /> Volume Depth to <br /> Date/time purged water Temp. OF pH EC Umhos - <br /> z .S 7.q3 I ,I�y <br /> 7 <br />' vn L s11f. <br /> 1 <br />' SAMPLE CONTAINER DATA: SAMPLE METHOD: <br /> Pum <br /> Number/type of container: 4M <br /> Other. <br /> VOA capacity: <br /> preserve: <br /> Amber capacity: oz <br /> preserve. — o <br /> Plastic capacity: <br />' preserve: <br /> Other (describe): <br /> SAMPLE PRESERVAzTJON OD: <br /> Iced C Other (describe): <br /> Signature: Datefl ime: q.-I -92�- <br />' Manh SOA <br />