Laserfiche WebLink
JL't�Vl'C ,[rc�c:i ruucvrcc.cr, 1fLl._ <br /> WATER SAMPLE FIELD DATA SHEET <br /> }f WELL I D <br /> PROJECT IY 7G6aor�D3 rte/ PURGED BY Z-4 <br /> CLIENT NAME fd x`33 SAMPLED BYG� SAMPLE I D /�f��' I <br /> LOCATION[ 2 it �� QA SAMPLES <br /> DATE PURGED START(2400hr) /2 Q CND (24001ir) 138 <br /> DATE SAMPLED /Z7748 SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Oilier <br /> CASING DIAMETER 2' 3' 4T(07) <br /> 5'� 6" 8' Other <br /> Casing Volume (gallons ger foot) (0 I7) (0 38) (I 02) (t 50) (2�) ( ) <br /> DEPTH TO BOTTOM(fec() = 26 CASING VOLUME(gal) _ l3 (f] <br /> DEPTH TO WATER((eet) CALCULATED PURGE(gat) <br /> WATER COLUMN HEIGI-IT(feet) ACTUAL PURGE(gal) = <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees oV� (umhos/cm) (units) (visual) (NTU) <br /> 7_ Com-_ ��✓ <br /> r D/ SAMPLE INFORMATI�IN � Cil <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGE YES_NO ANALYSES <br /> ODOR <br /> SSAMPLE VESSEL I PRESERVATIVE <br /> - <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump _ Bader( _PVC or disposable) <br /> :::XCentrtfugal Pump Basler(PVC) <br /> — <br /> Submersible Pump Bailer(Stainless Steel) 1 Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump <br /> Dedicated Peristaltic Pump Dedicated <br /> Other Oilier <br /> Pump Depth <br /> WELL INTEGRITY LOCKN <br /> REMARKS <br /> 0 <br /> Page � of <br /> SIGNATURE <br />