Laserfiche WebLink
i <br /> WATER SAMPLE FIELD DATA SHEET Rev� S <br /> PROJECT NO: SAMPLE ID: <br /> PURGED BY• CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE: Ground%%%ter Surface Water Leachate Other <br /> i <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION(fw MSL): VOLUME IN CASING(gal.): <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gat): <br /> DEPTH OF WATER(feet): ACTUAL PURGE VOL.(gal.): <br /> ; <br /> DATE PURGED: END PURGE: <br /> i <br /> DATE SAMPLED: SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal.) (units) (pmhoslcm 25°c) ("F) (visna wru) (2400HR) <br /> OTHER: ODOR: <br /> (COBALT 0-100) (IJTU 0 200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-i,XDUP-1): <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Baffler(Teflon) ! <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well NViardru Dedicated Well Wiardrl Dedicated <br /> Other. Other. <br /> WELL INTEGRITY: LOCK: f <br /> REMARKS: i <br /> pH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C.1000 / pH 7 / pH 10 / pH 4 / <br /> Temperature°F <br /> SIGNATURE: REVIENVED BY: PAGE OF I <br /> FIGURE <br /> WATER SAMPLE FIELD DATA SHEET "2 <br /> i <br /> ; <br /> • <br />