Laserfiche WebLink
GROUNDWATER SAMPLE FIELD DATA SHEET <br /> PROJECT No 020105306 0609 WELL ID <br /> CLIENT/STATIOON is ArR�C/OI#760 ADDRESS 225 S Cherokee Ln Lodi <br /> DATE /,?/� <br /> CASING DIAMETER (Inches) 2 3 45 5 6 8 12 Other <br />' (CIRCU Ona <br /> GALLONS/LINEAR <br /> _'FOOT 017 038 0 6��fi7 083 102 15 26 58 Other {� <br /> TO�� -OTW 1�7 3 c X GALLONS= / 00 X CASING = c�CALGULATEO ACTUAL J I <br />' WATER LINEAR Fr I CASING VOLUMES PURGE PURGE�T <br /> /))) `(COLUMN VOLUME <br /> DATE PURGED (s�d // START(2400 Hr) ZzW END (2400 Hr) <br />' DATE SAMPLED ` START(2400 Hr) 5 END (2400 Hr) <br /> >h.a.: -� <br /> TIME m VOL43ME=« '" pFlr- y r E C " ; MPERATLIR � �COLOR TURBmllw= <br />' <br /> ,(2400 Hr) (gas.)^ � Y(urnLsj> "x 'of(µmhvs/� ,` E° 4 x "I(visual) <br /> 7 /Z /S ��/ G'oG 3,Q a <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL(I e FB-1, XDUP 1) <br />' PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2 Blawer Pump Bader{Teflon® 2'Bladder Pump Balser(Tetlon(S) <br />' Centrdpgal Pumo Bader(PVC) OOL Sampler Bailer(Slainless Steele) <br /> Submersible Pump Bader(StaaWess Dipper Submers,Ole Pump <br /> J Steel( <br />' I Vac Truck <br /> QZted x Baler Oisoos=4 Ded+cated <br />' Olher n% Other <br /> WATER COLUMN / X 80 80%RECHARGE / L/ TO 80%RECHARGE_ (Ll� �� SAMPLE DEPTH <br /> REMARKS �7 <br /> G <br /> I <br /> COMPLETED BY (PRINT NAME) SIGNATURE <br /> REVIEWED BY DATE <br />' PAGE OF <br />