Laserfiche WebLink
p <br />_ <br /> GROUNDWATER PURGE AND SAMPLE FORM (cont.) Date:__7- !tI b <br /> PROJECT NAME: WELL NUMBER: 1'11 l v <br /> PROJECTNUMBER: PERSONNEL: T� JC { <br /> SAMPLE DATA: <br /> TIME SAMPLED- �r:f O _ <br /> DEPTH SAMPLED(u): <br /> SAMPLING EQUIPMENT:__ Lo'-- 1/, <br /> COMMENTS: 0 <br /> rriu�ruxy� K , <br /> cowAffldt5 �. .c k:cy. FiLt7iATlOft twr' p,,, l ba .CFL1lN D�CVSTOO ' 2RC-6,Uf3T�n'�> <br /> J ( - <br /> itit <br /> e. <br /> I <br /> � s <br /> F _ , <br /> PURGE WATER DISPOSAL.NOTES: <br /> TOTAL DISCHARGE(gat): �A � <br /> - n�sf?osdal Mart-rOD: �i��t G��.i <br /> DRUM DESfGNAT70N(S)NOLUMt=:. Ie <br /> COMMENTS: .�UOi1 C <br /> WELL READ CONDITIONS CHECKUST(Circle YES tr NO <br /> if NO.acid�emmen'sj <br /> WELLSECURt�I'b l ES OK(BOLLARDS.CHRfS7Y LfUa CASING LfD ANl1�C9Ct�?: YCS No <br /> INSIDE OF WELLHEAD OUTER CASING DRY?: YES <br /> -INf3 LEASING OK7:: NO <br /> COfUIMEMS <br /> GFNERAL <br /> WEATHER CONDI IONS:__ a <br /> TEMPERATURE <br /> Pnoetf s ENCOUNTERED DURING PURGING OR SAMPLING? <br /> COMMENTS <br /> ru <br /> i . Job File: <br /> 1 <br />