Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev 1!s <br /> PROJECT NO Z I <br /> 7' ZC1r Uo � SAMPLE ID _��,,., - Z f C!0 <br /> PURGED BY �t�u(nr„r CLIENTNAME ��Lp } Scju <br /> OWT SAMPLED 13Y LOCATION �- -p C V_--M 4� <br /> TYPE Gmundwatcr x Surface Water Leamate Other <br /> CASING DIAMETER(inches) 2 3 4__y 45 6 Other <br /> CASING ELEVATION(fcet/MSL) VOLUME IN CASING(gal ) Z 3 Q <br /> DEPTH OF WELL(feet) _-�Ly �- CALCULATED PURGE(gal ) 0 <br /> DEPTH TO WATER(feet) �7 to, w ACTUAL PURGE VOL (gal ) <br /> DATE PURGED 1-3 t3— EA-D PURGE Q <br /> DATE SAMPLED SAMPLING TIME Zip 2 I <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> 42400 HR) (gal) (units) (pmltos1cm025•c) ('F) (visual) (visual) <br /> .1 � 5•v -.o r y, <br /> • OTHER ODOR _tj <br /> FIELD QC SAMPLES COLLECTED ATTHIS WELL( I a FB_I XDUP-I 1 (COBALT a)oo) (NTv 0-200) <br /> PURGItjQ,EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) ="Bladder Pump Y Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless steel) - <br /> Dipper Submersible Pump <br /> Well Wtzard6 Dedicated Well W3zard6 Dedicated <br /> Other <br /> Other <br /> WELL INTEGRITY t T jI <br /> '� l� Locx D k <br /> REMARKS <br /> PH E C Temp Meter Calibration Date / l)-C rune t 1 f p <br /> E.0 l 1 _r u�U! �M'� L� Z `>✓ Meter Scnal No <br /> L 8 pH7 3 00 pH 10 1-3 ! U 00 pH4 "160 ! y yr <br /> Temperature°F S .�- <br /> SIGNATURE REVIEWED BY PAGE OF_L_ <br />