Laserfiche WebLink
WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client) e--N/'I^Q 1'1 �'4,5 <br /> Facility# (4oL-7Job#: <br /> Address:c;Z0. aY Ia 14_ Date: �� -2- 1 <br /> City: o C I< *C) n CA Sampler: C^ <br /> Well 1D �,,t�'.�(C Well Condition: G �` <br /> Well Diameter Hydrocarbon es Amount Bailed <br /> Thickness: _ - Iftg1) (product/wated: <br /> Total Depth tL Volume 2' – 0.17 3"a 0.38 4"–0.66 <br /> Facwr(VF) 6 –= 1 SO 12` a 5.80 <br /> Depth to Water <br /> X,3 Icase volume) Estimated Purge Volume: _. ^_(aaL) - V <br /> Purge—'—Disposable-Ba)ler Sampling -- <br /> Equipment: Bailer Equipment: Disposable Bailer <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: Other: <br /> Starting Time: Conditions: <br /> Sampling Time; C.. G`z- Water Color: O or.� <br /> Purging Flow Rate: _ - - - - Sediment Description: -- <br /> Did well de-water? If yes; Time: Volume: teal.) <br /> C <br /> Time Volume PH onductivity Temperature D.U. URF NkaUxdty <br /> �emhoslan -F (m�L) (mV) (ppm) <br /> (gal-) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (*)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> VOAV I AI_ Y SEQUOIA TPHIG)/btex/mtbe <br /> COMMENTS: S <br /> W974Wta t..tPn <br />