Laserfiche WebLink
sLcw< lnteriumotuu Inc. <br /> o WATER SAMPLE FIELD DATA SHEET <br /> M <br /> PROTECT#: D� .yl 8 U . t7I Z PURGED BY: e WELL I.D.: �I'1r LN 3 <br /> CLIENT'NAME: 4,2- O 41,q q3 SAMPLED BY: IL SAMPLE I.D.: 1MyJ 3 _ <br /> TION: 2Z /V C .J QA SAMPLES: <br /> DATE PURGED _ START(2400hr) END (2400hr) <br /> DATE SAMPLED SAMPLE TIME(2400hr) <br /> SAMPLE TYPE: Groundwater <br /> X Surface Water Treatment Effluent Other <br /> CASING DIAMETER: 2" 3" 4" 5' 6" 8" Other <br /> Casing Volume: (gallons per foot) (O.I7) (0.38) (0.67) (1.02) (1.50) (2.60) ( ) <br /> DEPTH TO BOTTOM (feet) = CASING VOLUME(gal) = <br /> DEPTH TO WATER(fee() = CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhoslcm) (units) (visual) (NTU) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: SAMPLE TURBIDITY: <br /> 80% RECHARGE: YES NO ANALYSES: wj <br /> ODOR: SAMPLE VESSEL I PRESERVATIVE: Z& L- <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Te <br /> Bladder Pump Bailer _PVC ar disposable) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump <br /> X Submersible Pump 2`1 P rv+ Bailer(Stainless Steel) Submersible Pump Sailer(Stainless Steel) <br /> Dedicated Peristaltic Pump Dedicated <br /> Peristaltic Pump <br /> Other: Odier: <br /> Pump Depth: <br /> LOCIUI: Iva <br /> INTEGRITY: �x7 a a i7 <br /> IG <br /> O - Y 5 — <br /> REMARKS: <br /> �SIGNATURE: Page of <br />