Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET- Rev 1192 <br /> PROJECT NO W 1 f�� (C' 9 ; SAMPLE ID f3 4f;) r I Lz ' <br /> EMCaN PURGED BY CLIENT NAME 24 33 <br /> 'S50CiasE! <br /> SAMPLED BY LOCATIONL{L <br /> TYPE Ground Water Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4`'� 4 5 fi Other <br /> CASING ELEVATION (feeUMSL) VOLUME IN CASING (gal ) Zf <br /> DEPTH OF WELL (feet) • CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) <br /> 3 .3 U ACTUAL PURGE VOL (gal } '� <br /> DATE PURGED 2 �3 End Purge 44Z <br /> DATE SAMPLED Sampling Time - 5-0 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> k <br /> (?400 V J �(uj 9 C-9 25`C) F) ( SU �Sud`/l+1TU) <br /> .qs C140 -143 <br /> � : 1,,,�t: �c <br /> OTHER_ T �.�- ODOR COBALT x100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1, X-DUP-1) <br /> PURGING EQUIPMENT SAMPLING FOUIEME <br /> �■ 2"Bladder Pump Bader(Teflon®) 2'Bladder Pump Bailer(Teflon®) <br /> _aJL/ Centntugal Pump fader(PVC) Bomb Sampler Baller($tWnSess sWd) <br /> Submersible Pump Bailer(Stemless Steel) Dipper Submersible Pump <br /> Well Wizardru Dedicated Well Wizardm Dedicated <br /> Other Oliver <br /> WELL INTEGRITY co `o-,GCf a 10- rI LOOK* -'s Z 10 <br /> REMARKS <br /> PH EC Temp Meter Calibration Date Tana Meter Serial No <br /> EC 1000 j pH 7 f pH 10 r pH 4 <br /> Temperature °F <br /> Signature ? / <br /> � � Reviewed 8y � Page of <br />