Laserfiche WebLink
SAMPLING( INFORMATION FORM ® 7ECHNAOGY <br /> 'fECHNOLf)GY <br /> CORPORATION <br /> JOB NAME R a1 JOB NUMBER �cj � - SAMPLE ID NO. c,L j qy ,,� WELL NUMBER <br /> CALCULATIONS EVACUATION CALCULATION AND <br /> EVACUATION RECORD <br /> MIMYLp - MEASURED WATER LEVEL QEPTH ft, MINIMUM PURGE VOLUME: �L=.�qal <br /> WID - MEASUnV WEM DEP H (LAIN. PURGE VOL. - 3 x wim DATE: 13 1 5� <br /> I(�v,r� rt. <br /> Sw1N • STAT9C wAT1:NN HEIGHT It. aC;UML PURGE VOLUME: fa qol. <br /> (SWH - Mw0 - MWLD) WELL PURGED DRY? (r/N). N TIME.- IAS: <br /> D = CASING DIAMETER In. EVACUATION METHOD: G �, <br /> wwV - WELL WATER VOLUME �qd. WATER COLOR: INITIALS : �.J <br /> (W#N - SW x 0.163 x (0/212 ) WATER ODOR: ..�s <br /> MEASUREMENTS SAMPLING SAMPLE TIME RECORD <br /> TEMP I� CONDUCTIVITY TURBIDITY <br /> w <br /> F/CI° {umhos/cm) (ntuf rHEr <br /> (Temp�fonb gflRdrol Cpndiilan) W• � <br /> a <br /> DATE : 1 3l r1y <br /> SAMPLING METHOD: <br /> TIME : -- -�-� <br /> 4 MWLD PRIOR TO SAMPLING: H 3.}S fl. <br /> INITIALS : -,1 t <br /> ADDITIONAL COMMENTS <br /> NAME (PRINT) AME (PRINT) <br />