Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev 5/96 <br /> PROJECT NO, SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> OMIT SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 45 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal ) <br /> DEPTH OF WATER (feet) ACTUAL PURGE VOL (gal ) <br /> DATE PURGED END PURGE <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH EC TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal) (units) (pmhos/cm@25°c) ff) (visual/NTU) (2400 HR) <br /> . OTHER _ ODOR <br /> (COBALT 0400) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL( I a FB-1, XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2 Bladder Pump Bailer(Teflon) 2" Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard T11 Dedicated Well WizardT" Dedicated <br /> Other Other <br /> WELL INTEGRITY_ LOCK <br /> REMARKS <br /> pH, E C Temp Meter Calibration Date Time_ Meter Serial No <br /> EC 1000 1 pH 7 1 pH 10 1 pH 4 / <br /> Temperature°F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> ^ ZGURE <br /> � <br /> r 1 EMCON WATER SAMPLE FIELD DATA SHEET 2 <br /> �J <br />