Laserfiche WebLink
WELL MONITORINGISAMPLING <br /> a FIELD DATA SHEET <br /> Client/ Job#I: <br /> Address: <br /> Date- `) Zj L' .. <br /> City: �v �t (; YQ < A Sampler: <br /> Well 1D V2 Well Condition. 4D E(/ <br /> Well Diameter Hydrocarbon Amount Balled <br /> � <br /> Total Depth <br /> Thickness 0' _ _ lieeSl Iproduct/water): tion <br /> _ L �� <br /> p Volume 2'= 0 17 3"= 0 38 4'- 0 bb <br /> f I`4 Factor(VF) 6"= 1.50 12' = 5 80 <br /> Depth to Water � h• <br /> q � <br /> X VF D 1�--c T X 3 (case volume) - Estimated Purge Volume- <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: Disposable Bail <br /> Stack Bailer <br /> Suct n Pressure Bailer <br /> Grun fos - Grab Sample <br /> Other: Other: <br /> Starting Time: _ �` � Weather Conditions: �rE-$✓ <br /> Sampling Time: _ I` Water Color: Odor: <br /> Purging Flow Rate: _ anm. Sediment Description* <br /> Did well de-water? If yes: Time: `/ `7 _ Volume: 3. 5 Insl_l <br /> Time Volume PH Conductmty Temperature D.O ORP Alkalinity <br /> — <br /> (gal) <br /> ►' to (mF�-) (mV) (ppm) <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#/)- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> X VOA VIAL Y HCL SE UOIA TPHIG)/btex/mtbe{-Tr- �S <br /> �OMMENTS <br /> 9197-IMida1 f►rn <br />