Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev- 'PTI <br /> PROJECT NO: SAMPLE iD: <br /> PURGED BY: CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE: GMund Water. Surface water Leachate other <br /> CASING DtAMETER Orches): 2— 3 4— 4.5 S. Other <br /> CASING ELEVATION(fesUMSL) . VOLUME IN CASING (gal,) <br /> DEPTH OF WELL (feet) . CALCULATED PURGE (gal.) : <br /> DEPTH TO WATER (feet) - ACTUAL PURGE VOL (gal.) <br /> DATE PURGED. End Purge <br /> DATE SAMPLED. Sampling Time <br /> TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 w) {pd.l (unes) (wWOOMCM0 259 CI {•Fl (vMWaobM) (VWUWWU) <br /> OTHER ODOR. <br /> {COeALT 0-00 (NYC a-a00 <br /> FIELD CC SAMPLES COLLECTED AT THIS WELL (I e.F13-1, X-OUP-1) <br /> e�IHDixa EMM SAMPLING EQUIP.MFNT <br /> Z*Bladder Pump Saber(Teftmw r Madder Pump Batter{Ten") <br /> Cen&*Mai Pump Bather(PVC) Bomtr Sampler Bailer(Swnww 6") <br /> Submeradbls Pump Bauer(Stainless Steal) � Dipper Su mnomd" P' P <br /> wo wt» Dedicatee WON wh ar rm � Dedlcaud <br /> otter , <br /> WELL INTEGRITY LOOK s <br /> REMARKS. <br /> WOOD <br /> pH,E.0,Temp.Mater Caprate: Oats: Meler Serial Flo. <br /> nom' <br /> EC 1000 ! _„eH 7,�--------PH 10 _I�soH 4 �! <br /> Temperature 0 F <br /> SIGNATURE Rsvlewed by. Page of <br /> 77b* EMCON <br /> Associates WATER SAMPLE SELO DATA SH /�EET w2 <br />