Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev. v9 <br /> PROJECT NO f�7 S�-`3 T `00L SAMPLE ID 4w ` , 4n,! <br /> PURGED BY CLIENT NAME L((p <br /> OWT SAMPLED BY v LOCATION S ti <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) ? 3 4 45 6 Other <br /> CASING ELEVATION(feet/MSL) VOLUME IN CASING(gal.) Z Z <br /> DEPTH OF WELL(feet) . CALCULATED PURGE(gal ) (p7. 3- <br /> DEP I <br /> DEPTH TO WATER(feet) _ tQ ACTUAL PURGE VOL (gal) _ ��S} <br /> DATE PURGED Zj' END PURGE / o`' <br /> DATE SAMPLED SAMPLING TIME 0 S` <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (24007) (0(tuuts)_ (pmhosl6,5°cl (3 {r3s (Vaud) <br /> _ � � L! <br /> I 1, _ L <br /> . OTHER ODOR <br /> (COBALT 0-top (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED ATTHIS WELL(t a FB-I.XDUP-I) <br /> PLMGING FQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Baiter(Teflon) 2"Bladder Pump /�Bailer(Teflon) <br /> Centnfugal Pump Bailer(PVC) Bomb Sampler ��Bailer(Stainless Steel) <br /> —Asubmerstble Pump ( <br /> ler(Stainless Steel) Dipper ubmersible Pump <br /> Well Wi=rdO Dedicated Well Wizardd Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK.� <br /> REMARKS <br /> pfl,E.C.,Temp Meter Calibration. ate T W"SenaYp14 <br /> • EC 1000 ! pH 7 / pH 10 ! ! <br /> Temperature:OF <br /> SIGNATURE REVIEWED BY PAGEOF_ <br />