Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev- 1, 3/gd'k <br />00 PROJECT NO: SAMPLE ID: <br />PURGED BY: CLIENT NAME: <br />EMCON SAMPLED BY: LOCATION: <br />TYPE: Ground Water — Surface Water Leachate — Other <br />CASING DIAMETER (inches): 2— 3— 4— 4.5— 6— Other <br />CASING ELEVATION (feeVMSL): VOLUME IN CASING (gal.): <br />DEPTH OF WELL (feet) : CALCULATED PURGE (gal.): <br />DEPTH TO WATER (feet): ACTUAL PURGE VOL. (gal.): <br />DATE PURGED: <br />DATE SAMPLED: <br />TIME VOLUME pH E.C. <br />(2400 Hr) (gal.) (units) (pmhos/cmQb 25° C) <br />OTHER: ODOR: <br />End Purge: <br />Sampling Time: <br />TEMPERATURE COLOR TURBIDITY <br />(OF) (visual/oobalt) (visuat/NTU) <br />(COBALT 0-100) (NTU 0-200) <br />FIELD OC SAMPLES COLLECTED AT THIS WELL (I.e. FB -1, X-DUP-1 ): <br />PURGING EQUIPMENT <br />— 2" Bladder Pump <br />— Bailer (Teflon®) <br />MEMO EQUIPMENT <br />2" Bladder Pump <br />— Bailer (Teflon®) <br />— Centrifugal Pump <br />— Bailer (PVC) <br />— Bomb Sampler <br />— Bailer (Stainless Steel) <br />— Submersible Pump <br />— Bailer (Stainless Steel) <br />— Dipper <br />— Submersible Pump <br />— Well Wizard <br />— Dedicated <br />Well Wizardrm <br />Dedicated <br />Other: <br />Other: <br />WELL INTEGRITY: LOCK #: <br />REMARKS: <br />pH, E.C., Temp. Meter Calibration: Date: Time: Meter Serial # <br />E.C. 1000 _ / pH 7 pH 10_/ pH 4 <br />Temperature 0 F <br />SIGNATURE Reviewed by: Page Of <br />EMCON <br />