Laserfiche WebLink
WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ �dsc;.� <br /> --Faciliiy� Job#:----- --= 1�a 134- <br /> Address: Zoo 1 &Pe, f M Q.r�m4 Date: e <br /> City: SoC✓J��- Sampler: <br /> Well !D 1"I LJ1 � U=_��Well Condition:_ -_� !�-r <br /> Well Diameter 2 __k6 Hydrocarbon ��j Amount Bailed -T <br /> Thickness: `Y' Mz& Ipduci/waterl: jQtiam <br /> Total Depth �' Vob=X r=0.17 7-038 4` 0.66 <br /> 6" 130 = --- 12'-5.80 - _ <br /> Depth to Water <br /> �� •-f X VF �.��' =Z'�B X 3(case VoGane) - EsdmaW Fur"Volume: , �• foal.) <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Dispo able Bailer <br /> Stac Bailer <br /> Suets Pressure Bailer <br /> Grundfos Gran Sample <br /> Other. Other: <br /> Starting Time: Weather Conditions: _ <br /> Sampling Time: Water Color. l Odor- <br /> Purging <br /> dorPurging Flow Rate: r ten, Sediment Description: <br /> Did well de-water? hA9 If yes; Time: Volume: laal.i <br /> Tune Volume pH Canduarvity Temperature D.O. ORP Alkalinity <br /> "mhoOF (Mgt) (mV) (ppm) <br /> • a .. . 9 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES # <br /> M vo A Y jf G SEQUOIA TPH(G)A texhntbe i <br /> COMMENTS: <br /> a� <br />