Laserfiche WebLink
•= WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # 70 S c..) ©f Ze S Job#: <br /> Address: ld Cn Date: <br /> City: 4a <br /> Sampler: <br /> wen 1D — well Condition: <br /> Amount Bailed <br /> Well Diameter Z Hydrocarbon C7 (productlwal 0: rad.1 <br /> Thickness' <br /> Total Depth Z(v.00 Vol ume 7" 0.17 9' O38 LZ' -5.80 0.66 <br /> PaGor(Vi) b'•• 130 <br /> Depth to Water <br /> T X VF 69:a 0.Z`q;q X a {ease volume) - Est3maitad Purge Volume: 4--s- <br /> - <br /> Purge Disposable Bailer Sampling <br /> Equipment: Bailer Equipment: i o able Bailer <br /> Bailer <br /> Stade Pressure Bailer <br /> �rar• Grab Sarr:ple°s Other. <br /> Other: <br /> Standup Tints: <br /> Z p Weather Conditions: <br /> Odor.- <br /> Sampling Time: <br /> 7r Water Color. <br /> Purging Flow Rate: / Sediment Description: <br /> Did well de-water? ff Yes' <br /> Time: Volume: <br /> D.O. ORP AUmRnW <br /> Time Volume PHcanducthfty Temperatasie �yy (PPS <br /> pmhow <br /> cm <br /> LABORATORY INFORMATION <br /> SAMPLE ID til- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> 1j Nc. 5eQuotA nr -} <br /> M� ac V t1A W A b B s t Z Pcpyltm -1Z") <br /> COMMENTS: <br /> .4s�FMKA.o <br />