Laserfiche WebLink
Groundwater Sampling Form <br /> Project tame-4 W GlLA` R- WY. S�OCK`CCa `,"Jell No "W <br /> .corded By <br /> !Ts aIt's TT Well Type ❑hdoneor ❑Exlractson ❑Other <br /> .corded By Samp'et y $$ Date <br /> WELL PURGING <br /> PURGEVOLUF.iE , PURGE VETHOD <br /> Well casing d ameter ❑BFsler-Type <br /> ❑ 2-inch R 4-inch []Other .Pump-T}?e eLer sub <br /> Well To'al Dep'h(FD tL below T OC) []Other <br /> De-'h to Water 'VL R t1e ow TOC 30 t'r3 ` PUMP INTAKE <br /> De th to fr.e `ase hkdrocarbons F? It beiowTOC Near lop Depth(I;) <br /> Number of well volumes to be purged Near Bo"on Depth(r,) <br /> © 3 ❑ 10 Other HOI.her <br /> PURGE VOLUV.E CALCULATION- Purnpng Ra'e 10 cam <br /> int iko X W. X tiZb = 37 t3 c_ar <br /> W2'er Ccl.—n Lens h N,i"sp!,er No Vc's f (-At CULATED PURGE VOLUME <br /> 1 ULT jPL,ER(Casing D-a Cinches]=Galjo ts/isnear O cat <br /> j2=0 1 113=03814=0 65 4 5=0 E31 5=1 02115 =-1 5,F =26 ACTUAL PURGE VOLUME <br /> GROUNMYATER PARADE T ER MEASUREMENT F Teter Type MYSZOO LADS <br /> Trre;Cai:orsH Co;3 Ter^p � �deg C Turb,d�', Color/Odor <br /> P I I <br /> fuomhcs C—i DCdec F 14TU <br /> i 3t V 1 t� 1 2 I l$cW I l,5 b 4-1 toIsuc OGoe <br /> I I I ! <br /> 1 ! ! k ! I <br /> 1 I I ! I I <br /> Co--se-1's d1nn5 we I p-ge <br /> V.el1 Ps.mped d-f YES Purge s'a.rare spcsai ❑Dr ne=c-s'e (F[0111-er <br /> WELL SAMIPUNG <br /> SAI`4PLING METHOD Da'e—1 ime Samp�ed 16-1`5—cts ! t320 <br /> Eisler-Type © -5,-B Svnple post ❑ O'her n <br /> GROUNDWATER S6:'PLE P;,RAVETER MEASUREMENTS !:eterType <br /> Da'erM ne % Fec�,a•ge PH Cond � Tema deg C Tu-bsdr`y I Cal <br /> morlOdor <br /> uohcsre Rea F NTU <br /> ! 1 � <br /> SAMPt-1NG PROGRAM <br /> Sanole No lContBnerVNolurni I Frese-n!rves Lebo alo Comments <br /> YoA s c.ot I I BCA <br /> I I I i I <br /> I I I <br /> I I I <br /> I I !QUALITY CONTROL SAMPLES „ <br /> Du licale Sam les Blank Samples <br /> O arnal Sample No Dv reale Sam le No T Sample No <br /> Tn <br /> Rnsate <br /> Transfer <br /> Other <br />