Laserfiche WebLink
,),bGu t imeriumonuc Tru,. <br /> WATER SAMPLE FIELD DATA SKEET <br /> PROJECT fl �G600��D'3 `�/ PURGED BY ��— WELL I D <br /> CLIENT'NAME /�� x`33 SAMPLED BY /Jl� GI SAMPLE[ D <br /> r LOCATION 2 i S G G,'C QA SAMPLES <br /> DATE PURGED `'f~ START(2400hr) END(24001ir) <br /> DATESAMPLED t`� SAMPLE TIME(2400hr) lr� <br /> SAMPLE'TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" 3" 4" 5"� 6- 8' Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (I 50) (2 60) { ) <br /> DEPTH TO BOTTOM(feet) CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = ip / CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) - ACTUAL PURGE(gat) <br /> F[ELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) t6z� (degrees tk (umhos/cm) {uniu (visual) (NTU) <br /> f2 -I�-sB <br /> SAMPLE INFO RMATIQ N <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGE YES—NO ANALYSES � .01 <br /> ODOR /l/C3' SAMPLE VESSEL I PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bader(PVC) Centrifugal Pump _ Batter( _PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump <br /> Dedicated Peristaltic Pump Dedicated <br /> Other �l/�/ Odier <br /> Pump Depth <br /> LOCK# <br /> WELL INTEGRITY <br /> REMARKS <br /> Page of <br /> SIGNATURE <br />