Laserfiche WebLink
I <br /> i <br /> i <br /> WATER SAMPLE FIELD DATA SHEET Rev.5/96 <br /> PROJECT NO: SAMPLE ID: <br /> PURGED BY: CLIENT NAME: <br /> SAMPLED BY: LOCATION: j <br /> TYPE: Groundveater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 b Other <br /> CASING ELEVATION(feeWSL): VOLUME IN CASING(gal.): i <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.): i <br /> DEPTH OF WATER(feet): ACTUAL PURGE VOL.(gal.): <br /> DATE PURGED: END PURGE: <br /> DATE SAMPLED: SAMPLING TIME: <br /> 1 <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal.) (units) (pmhos1cmQ25°c) ff) (visuallNTIJ) (2400 HR) (� <br /> i <br /> I <br /> OTHER ODOR <br /> BntT o-loo) o-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-1,XDUP-I); (co (NTU <br /> PURGING EQUIPMENT SAMPLING EOUIPMENT <br /> 1 <br /> 2"Bladder Pump Bailer(Teflon) 2'Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> 1 <br /> Well Wizard'*' Dedicated Well WizardTM Dedicated <br /> Other. Other. <br /> ' I <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> t <br /> PH,E.C,Temp.Meter Calibration: Date: Time Meter Serial No.: <br /> E.C.1000 ! pH 7 / pH!0 I pH 4 / <br /> Temperature°F i <br /> t. <br /> SIGNATURE: REVIEWED BY: PAGE OF <br /> FIGURE <br /> WATER SAMPLE FIEL=SHEET <br /> I <br /> �2 I <br /> i <br /> i <br /> I <br /> I <br />