Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev 5/96 <br /> PROJECT NO SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(tnches) 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) (µmhos/c m@25°c) (°I) (visual/NT[i) (2400 HR) <br /> OTHER ODOR <br /> (COBALTO-100) (NTU o-zoo) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a FB-1,XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Batter(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bader(PVC) Bomb Sampler B'iiler(5tltnless Steel) <br /> Submersible Pump Bader(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard'" Dedicated Well Wizard'" Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> pH,E C,Temp Meter Calibration Date Time Meter Serial No <br /> 8C 1000 ! w� pH / pH 10 / pH4 I <br /> Temperature°F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> INTERNATIONAL FIGURE <br />. TECHNOLOGY WATER SAMPLE FIELD DATA SHEET A-2 <br /> CORPORATION <br />