Laserfiche WebLink
SN11TH ENV1RON''1l1ENTAL TECHNOLOGIES VATER SAMPLING LOG <br /> Nk ELL\SAMPLEDGSIGNATION SITE <br /> DATE <br /> SAMPLE SOURCE , <br /> IROJLCTk f - to <br /> AMBIENT CO':DITIONS (�� SAMPLER LA <br /> GRAIL SAMPLE INFORMATION (use notes section for meter reading, flow rate, rol purged etc ) <br /> RAD SAMPLE CONTINUOUS PUMPER YES_NO pH meter FLOW RATE <br /> METHOD F PUMP CYCLING _y —NO METER RE TNG <br /> S�'ATLR LEVEL INFORMATION MEASURING POINT INSTRUMENT USED <br /> W L BEFORE PURGE/0 q3 _TIME ^ W L AFTER PURGE f -' TIME <br /> W L FOR 8090 RECOVERY W L TLME OF SAMPLE DATE TIME <br /> MONITORING WELL PURGEG INFORMATION MONITORINWELL PURGE MET <br /> r!+ HOD <br /> PURGE DEVICE I-D e ►/,QQ 1 <br /> WELL DEPTH V,&is DIAMETER 2- #CASING VOLUMES (PROTOCOL)_ <br /> SCREENED INTERVAL `' PUMP SETTING ^ <br /> PURGE VOLUME CALCULATION ZO, LQ 4.> - 1,0 - -TIMk , "'`�� �,S x3 - <br /> E PURGE BEGINS �. Q ACTUAL AMOUNT PURGED S J d "I pH INSTRUMENT <br /> TIME TEMP COND H PURGE WATER APPEARANCE/ODOR - TURBIDITY <br /> 2.1'Lr "t. 'Z C "7 <br /> XR <br /> ti�'ATLR SA1vIPLLIr'G II�'I ORMATION MONITORING WELL SAMPLE METHOD <br /> ]fit-pp 5 fiA U APPRO)aNIATE DEPTH OF GRA$ <br /> SAMPLING DEVICE ID ___ _ SAMPLING TIME `� Z L DATE ��tA_(Rp�_ _._. .._... <br /> BOTTLE TYPE; NO _ VOLUME J ^�ANALYSIS LAB PRESERVA-TION—. FILTRATION <br /> b S B <br /> -_... <br /> I <br /> DECONTAMINATION INFORNIATION <br /> ?je)6� <br /> PURGE DEVICE IDOSE REEL —~ SAMPLING DEVICE ID '&-.If HOSE REEL <br /> W -� <br /> PREVIOUSLY USED IN ELL ufA1-7,, PREVIOUSLY USED IN WELL-----' <br /> SITE V SITE <br /> DECON METHOD/S AM TAME �`QGv�. ¢1 V.,j Jou D>rCON METHOD/STEAM TIM ~� <br /> RINSFATE SAMPLE YF.S�NO I D RENSEATE SAMPLE yES NO ID <br /> QA/QC I-NFOEMA.TION <br /> IN SAMPLE SHIPMENT TRAVEL BLANK YES-Y- NO QA/QC SPIYES NO ID <br /> DUPLICATE�YES NO ID FIELD BLANK YES��Jp r� <br /> NOTES IN I ER-LA$ SPLIT YES X NO ID <br /> T c 1w0rEflcleam hn \sam lot XI <br /> 8 r s <br />