Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev. 119 <br /> • PROJECT NO: Ze Ati i_ Co'ea-. ata l SAMPLE ID: �o " <br /> PURGED BY : /T,_� CLIENT NAME: <br /> Q Y`x 1I 1 SAMPLED BY : LOCATION: - <br /> TYPE: Groundwater L Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 t�- 3 4 4.5 6 Other <br /> 'CASING ELEVATION(feedMSL): VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feet 1: CALCULATED PURGE(gal.): <br /> DEPTH TO WATER(feet): ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED: i �' END PURGE: 12-29 <br /> DATE SAMPLED: rj SAMPLING TIME:_ .12 3� <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) gal.) (units) (pmhos/cmQ25°e) (°F) (visual) tvisual) <br /> tZZ� .X53 341 <br /> OTHER: ODOR: <br /> (COBALT a 100) r vry 0-200) <br /> FIELD QC SA`IPLES COLLECTED AT THIS WELL( i.e.FB-1,XDUP-1) : <br /> PURGING EQUIPMENTSAMPj.ItjG EQUIPMENT <br /> 2"Bladder Pump Baiter(Teflon) 2"Bladder Pump a/ Bailer(TclIons <br /> CentrifuraI Pump Bailer(PVC) Bomb Sampier Bailer(Stainiess Steel) <br /> µ— Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard0 Dedicated Well WizardO Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: � r r LOCK.- <br /> REMARKS: <br /> OCK:REMARKS•_ �V G Cir tIJ <br /> pH,E.C..Temp.Meter Calibration: Date: Ti. Meter Serial No.: <br /> • E.C. 1000 r pH 7 ! pH 10 / pH 4 ! <br /> Temperamre OF <br /> SIGNATURE: REVIEWED By-lz <br /> PAGEOF_ <br />