Laserfiche WebLink
T. WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ Job#: <br /> Facility <br /> Address: S 'u 5� . ` '' ``r� <br /> Date: <br /> Sampler: <br /> City: <br /> Well 1D <br /> M k/ Well Condition: <br /> Z Hydrocarbon Amount Bailed <br /> Well Diameter sickness: • �� iprnduttlweter): �a�-1 <br /> S ' Valnme 3":0.17 3" -0-98 'r 0.66 <br /> dotal Depth a Fye� 6.� ISO - 12"�5.80 <br /> Depth to Water a <br /> 7'o 5' X VF (9. T �b1 X 3 iea58 WumS) � 66mst0d Pura@ Volume: �• � �p� <br /> ble ailer Sampling <br /> Purge Equipment: as ble Balle <br /> Equipment: Bailer Bailer <br /> Stack Pressure Bailer <br /> Suction Grab Sample <br /> Grundfos Other: <br /> Other: <br /> Starting Time: f Sa Weather Conditions, <br /> Sampling Time: O <br /> Water Color: Gl , , Odor" &a <br /> • Sediment Description: <br /> Purging Flow Rate _ <br /> Did well de-water? <br /> if yes; Time: Volume: <br /> D.O. ORPAlkali�ty <br /> Time Yoltime pH Co �� Tao- (n'g/L.) (mV) (PPM) <br /> /0 <br /> LABOFRA'1'OFIY INFORMA" MON ANALYSES <br /> SAMPLE ID 10)- CONTAINER REFRIG. PRESERV.TYPE' LA,BORATOFty <br /> X Vim{ VIQL 4-)4ai.{Oi `r1 T FI MA�td <br /> .. <br /> commENTS: <br /> �A7�YWLhn <br />