Laserfiche WebLink
SEC OR Intenurtional Inc. j <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT b: PURGED BY: WELL 1.D. w <br />} ; <br /> CI'SIT NAME: SAMPLED BY: SAMPLE 1.D.: <br /> INION: QA SAMPLES: <br />` <br /> DATE PURGED ��' START(2400hr) i 3 a END (24001'ir) 1 3� <br /> DATE SAMPLED <br /> �- 1`�� SAMPLE TIME(2404hr) lgId <br /> SAMPLE TYPE: <br /> Groundwater Surface Water Treatment Effluent Otl►er <br /> i <br /> CASING DIAMETER: 2" 3" 4" _ 5 6" — 8" Other <br /> 0.17 0.38) (0.67) (L02) (1.50) (2.60) <br /> Casing Volume: (gallons per foot) ( ) ( <br /> i. rp z <br /> DEM-1 TO BOTTOM (feet) = �CCASING VOLUME(gal) = 6! <br /> CALCULATED PURGE(gal) _ �7'r � <br /> DEPTH TO WATER(feet) = ✓ <br /> HEIGHT(fee[) _ v ACTUAL PURGE(gal} <br /> WATER COLUMN HEIGHT _ I <br /> FIELD MEASUREMENTS <br /> VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> DATE TIME visual <br /> umhoslcm) (units) (visual) (NTS <br /> (24Whr) a!) (degrees ( �6 y /,�f eLA-,, 4� <br /> 13 X14 av <br /> 3 <br /> t 3 yq <br /> 135 >!I� <br /> S a <br /> SAMPLE INFORMATION <br /> SAMPLE C URBIDITY: <br /> SAMPLE DFJYM TO WATER:—7 Jj6 <br /> I0% RECHARGE- ��—NO <br /> ANALYSES: i <br /> ODOR: ai: SAMPLE VESSEL I PRESERVATIVE: <br /> PURGING EQUIPMENT SAMPLING EQUIFMF.NT a <br /> Bailer(Teflon) <br /> Bladder Pump Bailer(Teflon) <br /> Bladder Pump --Bailer _PVC or �disposable) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump _� <br /> Bailer(Stainless Steel) Bailer Stainless Steel): <br /> 5ubmersibk Pump <br /> bL Submersible Pump Dedicated <br /> Peristaltic Pump <br /> Dedicated Peristaltir–Pump <br />� Other. <br /> Other: f <br /> Pump Depth: <br />` LOCK#: y � <br /> WELL INTEGRITY: <br /> REMARKS: <br /> page of <br /> SIGNATURE: <br />