Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev 1'92 <br /> PROJECT NO ICI 1 SAMPLE ID (E�'s <br /> EhAI✓ON <br /> +S SOCuTE9 PURGED BY �V'6tVYi CLIENT NAME rto`(: '7i(33 <br /> SAMPLED BY ✓ LOCATION U �L( ✓1 <br /> TYPE Ground Water -i— Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 4 5 C Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gal ) ' <br /> DEPTH OF WELL (feet) �U.� CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) '-70 ACTUAL PURGE VOL (gal ) 0-"7 <br /> DATE PURGED �� End Purge 3l 5 <br /> DATE SAMPLED Sampling Time ` 3 <br /> TIME VOLUME pH EC TEMPERATURE COLOR TURBIDITY <br /> (2400�r'�tS �,��'� t,t(�+�� (Er LZ� 250 c) � 9F}� (v,sualrcobalt) (vtsua>r�u) <br /> .0 [( <br /> ZV <br />,. <br /> OTHER 6L jf"L r V�OGw�t <br /> ODOR <br /> (CO LT 0.100) (NTU 0 200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I e FB-1, X DUP-1) <br /> I <br /> i <br /> PURQING ERYEMENIAM t P <br /> 2-Bladder Pump Bailer (Teflon®) 2'Bladder Pump Bailer (Teflona) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bader(Stainless steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> well WtzardTN Dedicated well W+zardTM Dedicated <br /> Other <br /> Ower <br /> WELL INTEGRITY c)-, ( qll`tt <br /> LOCK it <br /> QCAI r; <br /> ,45, 1u -I— 33 <br /> VI'tn L <br /> pH E C Temp Meter Calibration Date Time Meter Serial No <br /> EC 1000 pH 7 pH 10 pH 4 � <br /> Temperature ° F <br /> Signature C <br /> Reviewed BY �� / Page D of / 5 <br />