Laserfiche WebLink
I <br /> WATER SAMPLE FIELD DATA SHEET Rev 1,92 <br /> k -1PROJECT NO 00 �-dS SAMPLE ID v0 0j ' � c l <br /> EMCON PURGED BY fv, CLIENT NAME tJ <br /> •SSOG3Ai ES <br /> I <br /> SAMPLED BY LOCATION r) 4 G1 <br /> TYPE Ground Water Surface Water Lenachate 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) 3S CALCULATED PURGE (gal ) 2Q <br /> DEPTH TO WATER (feet) 2l� ACTUAL PURGE VOL (gal ) 3L <br /> I <br /> DATE PURGED I Gt� End Purge 1i S� <br /> DATE SAMPLED Sampling Time t S7i <br /> (2400 TIME VOLUME pH / [/ ']I --7E��CTEMPERATURE COLOR TURBIDITY <br /> I r) (units) <br /> ( � l LSs C) ( f _ I J. ,Y .�COb <br /> U "d;R <br /> t lei 0 �3 4 �- <br /> OTHER"" E Sipv L v 3 f ODOR <br /> co 0.100) (NTU 0 200) <br /> w <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1 X-DUP-1) <br /> PURGING_ EQUIPMENT SAhdPLING FOUIEMENT <br /> 2'Bladder Pump Bader(Teflon(&) 2'Bladder Pump Sailer(Teflon®) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bader(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well W¢ardrm :edicated Well Wizard'ru Dedicated <br /> Other J Other <br /> WELL INTEGRITY l � r t�I ( (k f I LOCK# 3Z�� <br /> REMARKS <br /> pH E C Temp Meter Caidxabon Date Time Meter Serial No <br /> E C 1000 j pH 7 / pH 10 pH 4 <br /> Temperature °F I/ <br /> Signature Reviewed By Page 7 of <br />