Laserfiche WebLink
al � <br /> WATER SAMPLE FIELD DATA SHEET Rev. 1/9 <br /> PROJECT NO: /7 S— `3 7. SAMPLE ID: <br /> . PURGED BY :,Ql, CLIENT NAME: lLf.O <br /> OWT SAMPLED BY : 191f LOCATION: <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 ✓ 4.5 6 Other <br /> CASING ELEVATION(feet/MSL): A VOLUME IN CASING(gal.): '91-5'S d <br /> DEPTH OF WELL(feet): s, 3 CALCULATED PURGE(gal.): 7 r Y9- <br /> DEPTH TO WATER(feet):_ 3 gQ ACTUAL PURGE VOL(gal.): 7„ s <br /> DATE PURGED : END PURGE: <br /> DATE SAMPLED: ff Zf R SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (ga!_) (units, P25°0 (°F) (visual) visual) <br /> < � <br /> . OTHER: l�a Os V 1 L ODOR: /tly— <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e. FB-1,XDUP-1): <br /> PURGING EQUIPMENT SAMPLING EQU�IPME�NT <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bauer(Teflon) <br /> Centrifugal Pump Hailer(PVC) Bomb Sampler. Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submcrsible Pump <br /> Well wizardb Dedicated well wizardO ``Dedicated <br /> Other: Other: <br /> WELL INTEGRITY: LOCK: ev 44;j"- <br /> - <br /> REMARKS. <br /> PH.E.C..Temp.Meter Calibration: Date: Time: Meerr Serial No.: <br /> E.C. 100o I pH 7 / pH 10 ! pF14 I <br /> Temperature IF Off ✓ <br /> SIGNATURE:_ REVIEWED BY:R5PAGE ,OF <br />