|
1
<br /> ffi MEN=
<br /> r
<br /> • f W05S ASSOCLL'YE'S
<br /> WATER SAMPLING DATA Well Name Date
<br /> Job Name/Number _&rA4CM # 4; � � Initials
<br /> Well , Spring ____ Surface — Other
<br /> Location WELL DATA: Well type (Describe; M - monitoring'well)
<br /> Depth to Water 0.8 ft (pump/stat) MaximFim Drawdown Limit (MDL) _ ft
<br /> Well depth £t (sounded) Well depth ft (spec)
<br /> Well diameter in. TOC height above ground �� ft Water elev. �' ft
<br /> Volume Evacuate Pum ed Pui ed Bailed
<br /> Time: Stop i Qd , .� poimulaalcan+arslona i
<br /> Start r-well'raHus In ft
<br /> min t1 r+s iA• r h-
<br /> ht of xebec col in tL
<br /> Total hrs j
<br /> 1. Ln cyl -crab '
<br /> Total Evacuated gal. 7,4a'ya].ltt�
<br /> Evacuation Race O gam i 'ito2" e.sica�.-0.1q an7jtL r
<br /> �i137.casits-0.387 gal/tL -
<br /> �' o.ss7 sWta
<br /> ' Pump # and type Bail r # anal type•_ ' aasin3..o.ers del/LL
<br /> Hose # sand type !.� 4?; sl• va 1~ . z si atJte y
<br /> easing 147 �a11iL ti i
<br /> V i g i it f
<br /> je
<br /> Sampling fort:: Rata.r_`` �_ gpm Volume :� 'Igal
<br /> rrf Location,�descri
<br /> -'i , ..Initial heigliC„�of iaater'incasing' ���ti�•ftQ voZvSaey^��'1� a7�X�
<br /> Evacuation tat'dravdokr�•limit 3'x:initial voWme 4'. .
<br /> `
<br /> • �racuatton ati impling,point Z=x t a volti�e wq R g �"R^r, (� •s 3 t
<br /> vtFJE TAtaI,..to be r eVaCliBtadeG•rY'�r T S ,�
<br /> �ru '�;eA•'Wter..,Color ' W' 't a � � � 1 , ? .,.
<br /> a 1st}a Description of`1sedirient�and/of�fare ign matteX�nNsamp7.a r{ #
<br /> .'ti► .-� S�ry:r �•Z�1•_; s, ". i".t , t!�`, r. ;•�-•j:.-,. '',''�rr'�.`, '*1 '.Ar,?. 1. 1�r,•.141a'X 'l .,y,���.A -n1 ;.
<br /> t k Point o£ cAllectian�4sjx f, xifj 4 4f •�-}�,.rw ��.`� hkrr 1 a$1:
<br /> Depth to""" du.iing p maping Yom_ fit', �t tfine,,#Sam ding C_it�°!�=! time rf ,}
<br /> F �, 1. 1 c ..i _ - yrP _' Fw j::riitC�'S+#i�+� •r`•''�'!' �.r! q t..� yTt 4,
<br /> r „� Pumped_dry? Q• Af.erial.-a ReCAvery rte.^ =-� is
<br /> ADDITIONAL COMKENTS,;IACATION SKETC :,WMICtONtLENTAL CONDI�IONSry�e'�ga p lt*8ather,p�s
<br /> fy z ;'artVit ng neat yrl proble='-Vith equipment�For,sampZingti yeCc ' PumPx,si/off�1 �f -_.;•n 'r# ,
<br /> 'Y, �1 -'.� t fr.'j �s,d�i� '' "",rf�- • ! c ` r
<br /> es.��
<br /> +f } CHEMICAL, DATA',
<br /> ereperature:� °C. Thermometer #r� Specific CbnductarlceL�jivahasW ;R� vn . �, .
<br /> ��4,Y'ap'' _ -tip t — .i�4 �. •;?�.y�. y, }y�' -r a' ij ' ti :is S .�
<br /> } , , rpli'I 'Calib atioa' 4 0, Calibration`- emp
<br /> pC SAMPLES COLLECTED s F,.. r . 1 ler`Ld r
<br /> .:.t; Bottle/ Filtered ,�,Preservazliief,
<br /> (s&ze u, .(specify)`e�we ,+iSample: Cap
<br /> rID No N� (Specify) (N No�',c (R Refriger ted) 'Analysis.' Labs .a_,,
<br /> . -Lo ml Y !� .c4 d _ xlKi ai L'• �.
<br /> Ml
<br /> Ml
<br /> Mi
<br /> ml i
<br /> Ml.
<br /> MI_ m1
<br /> ml
<br /> Ml -
<br /> Bottles: P Polyethylene; Pp - Polypropylene; C or B Clear/Brown Glass;
<br /> = 0 - Other (describe)
<br /> Additional Cap Codes: Py - Polyseal; V - VOA/Teflon septa; M - Metal
<br /> TON OF
<br /> TMS
<br /> �
<br /> ITION Or. TIE
<br /> O�
<br />
|