Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev. 1, 3190 <br /> PROJECT NO: SAMPLE ID: <br /> PURGED BY: CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE: Ground Water Surface Water Treatment Effluent Other <br /> ' CASING DIAMETER (inches): 2 3 4 4.5 6 Other <br /> ' CASING ELEVATION (feeVMSL) : VOLUME IN CASING (gal.) : <br /> DEPTH TO WATER (feet) : CALCULATED PURGE (gal.) : <br /> ' DEPTH OF WELL (feet) : ACTUAL PURGE VOL. (gal.) : <br /> ' DATE PURGED: Start(2400) End(2400) <br /> DATE SAMPLED: Start(2400) End(2400) <br /> ' TIME VOLUME pH E.C. TEMPERATURE COLOR TURBIDITY <br /> (2400 Hr) (gal.) (units) (µmhoslcm@ 250 C) (°F) (visual) (visual) <br /> P s <br /> D. O. (ppm): ODOR: <br />' (COBALT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i.e. FB-1, X-DUI'-1) : <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> 2'Bladder Pump Bailer(TeflonO) 2'Bladder Pump Baller(Teflon(D) <br /> Centrifugal Pump Bailer(PVC) DDL Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizard^ Dedicated Well Wizards Dedicated <br /> Other: Other: <br /> rWELL INTEGRITY LOCK# : <br /> REMARKS: <br /> Meter Calibration: Data: Time: Meter Serial# Temperature <br /> (EC 1000 !�](DI H2O )(pH 7 / )(pH 10 / )(pH 4 ! ) <br /> SIGNATURE Reviewed by: <br /> E MCO N FAssociates WATER SAMPLE FIELD DATA SHEET <br />