Laserfiche WebLink
Birch Technical Services GROUNDWATER SAMPLING FORM <br /> 116 Liberty Street <br /> Santa Cruz, Ca 95060 <br /> (408)459- 718 Well Number: <br /> Proje4i Number: Sample Type: OGroundwater OTrip Blank XDuplicate of r <br /> Station Number: <br /> Date: 5 //7 1 , Sampled by: <br /> NIV'ELL PURGING <br /> PURGE Casing Diameter (inches) 0211 03" 04" 04.5" 06" O <br /> VOLUME Volume Factors: 0.1632 0.3672 0.6528 0.826 1.4691 <br /> Total Depth of Well Initial Water Level: PURGE METHOD: <br /> O Honda Pump <br /> Total Volume Purged: Time Elapsed: ODisposable Po)yTubing(_ft) <br /> OSpeed Winch <br /> Calculated Purge Volume: ODisposable PVC Bailer(s)( <br /> OOther <br /> x = x = (gallons) <br /> Total Depth Water Level Well Vol. Fac. #of vol.to Purge Calculated Purge Volume <br /> Subjective Analysis Prior to Purging PARAMETER EQUIPMENT CALIBRATION—/ <br /> SHEEN Depth to Product Product Thickness <br /> OYes ONo (ft) (ft) pH Meter#: Time: <br /> Solution pH 7.00 at OF <br /> MMENTS: Solution pH 4.00 at OF <br /> Solution pH 10.00 at OF <br /> Water Level Meter#: <br /> 66 <br /> SAMPLING METHOD <br /> OPVC Disposable Bailer Time Sampled <br /> OTeflon Bailer (24 hour clock) <br /> OOther: 1 :7 IS <br /> WELL SAMPLING PARAMETERS <br /> Gallons Temp pH Cond. Analysis No. Container preservatives <br /> Removed Time OF (umbos/cm) Required of Type <br /> EPA 601 VOA's <br /> TPH-G/BTEX VOA's HCl <br /> TPH- Diesel Amber <br /> Liter <br /> TOG 5520 BF Amber H2SO4 <br /> Liter <br />