Laserfiche WebLink
1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />PROJECT NO: SAMPLE ID : <br />PURGED BY: CLIENT NAME: <br />SAMPLED BY: LOCATION: <br />TYPE: Groundwater Surface Water Leachate Other <br />CASING DIAMETER (inches): 2 3 4 4.5 6 Other <br />CASING ELEVATION (feet/MSL) : VOLUME IN CASING (gal,): <br />DEPTH OF WELL (feet) : CALCULATED PURGE (gal.) : <br />DEPTH OF WATER (feet) : ACTUAL PURGE VOL. (gal.) <br />DATE PURGED : END PURGE: <br />DATE SAMPLED: SAMPLING TIME: <br />TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br />(2400 HR) (gal.) (units) (pmhos/cm r@25°c) (°F) (visual/NTU) (2400 HR) <br />WELL INTEGRITY: LOCK: <br />REMARKS: <br />PH, E.C., Temp. Meter Calibration: Date: Time: Meter Serial No.: <br />E.C. 1000 / pH 7 / pH 10 / pH 4 / <br />Temperature IF <br />SIGNATURE: REVIEWED BY: PAGE —OF <br />— <br />U <br />WATER SAMPLE FIELD DATA SHEET <br />ODOR <br />OTHER <br />(COBALT o -loo) (NTu o -zoo) <br />FIELD QC SAMPLES COLLECTED AT THIS WELL (i.e. FBA, XDUP-1) <br />PURGING EQUIPMENT <br />SAMPLING <br />EQUIPMENT <br />2" Bladder Pump <br />Bailer (Teflon) <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 Wizard' <br />Dedicated <br />Other. <br />Other. <br />WELL INTEGRITY: LOCK: <br />REMARKS: <br />PH, E.C., Temp. Meter Calibration: Date: Time: Meter Serial No.: <br />E.C. 1000 / pH 7 / pH 10 / pH 4 / <br />Temperature IF <br />SIGNATURE: REVIEWED BY: PAGE —OF <br />— <br />U <br />WATER SAMPLE FIELD DATA SHEET <br />