Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev 5196 <br /> . � PROJECT NO SAMPLE ID <br /> PURGED BY CLIENT NAME <br /> OWT SAMPLED BY LOCATION <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 4 45 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING(gal) <br /> DEPTH OF WELL(feet) CALCULATED PURGE (gal) <br /> DEPTH OF WATER (feet) ACTUAL PURGE VOL (gal) <br /> DATE PURGED END PURGE <br /> DATE SAMPLED SAMPLING TIME <br /> TIME VOLUME pH E C TEMPERATURE TURBIDITY TIME <br /> (2400 HR) (gal) (units) (pmhos/cm@25'c) (°F) (visuat/NTU) (2400 HR) <br /> OTHER ODOR <br /> (COBALT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL( I a FB-1, XDUP-1) <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2"Bladder Pump Bader(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampter Bader(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard— Dedicated Well Wizard74 Dedicated <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS <br /> pH, E C,Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 1 pH 7 1 pH 10 1 pH 4 I <br /> Temperature°F <br /> SIGNATURE REVIEWED BY PAGE OF <br /> FIGURE <br /> [00• EMCQN WATER SAMPLE FIELD DATA SHEET A-2 <br />