Laserfiche WebLink
WELL MONITORING/SAMPLING <br /> µ FIELD DATA SHEET r <br /> Client! <br /> Facility ;t- /Z.�S' CCIR S � ) Job#: ! $d $ <br /> Address: 16 rim Date: 16 <br /> City: "-drd l w� Sampler: .Well ID M w, Z -Well Condition -- �- <br /> Well Diameter Z' In, Hydrocarbon Amount Balled <br /> Thickness: (Producttwaterl: n <br /> Total Depth n. <br /> Volume 2"—0 17 3"a 0.38 4" 0 fib <br /> Depth to Water rt. <br /> Factor(VF) 6"= 1.50 12" 5 80 <br /> �� •9 g <br /> I C Z- X VF 10 = Z `SAX 3 (case volume) - Estimated Purge Volume �'�' G faal.I <br /> Purge Disposable Bailer Sampling fos <br /> Equipment: Bailer Equipment: is able Bai r <br /> Stack Bailer <br /> cDPressure Bailer <br /> Grundfos Grab Sample <br /> Other Other <br /> Starting Time Z.: a o Weather Conditions �ar� <br /> Sampling Time Z; Z- Water Color rls Odor <br /> Purging Flow Rate apm Sediment Description —S <br /> Did well de-water? If yes, Time Volume tial I <br /> Time Volume pH Conductivity Temperature 00 ORP AIkaluuty <br /> ( aI LmhosjcmxVpp F (mg/L) (mV) (ppm) <br /> 9 a <br /> LABORATORY INFORMATION <br /> SAMPLE ID (9) - CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> MW+ Z 3 fQ;g Y i;G SEQUOIA TPH(G)lbtexlmtbe <br /> COMMENTS: <br /> 9197 rkwa Lftm <br />