Laserfiche WebLink
WATER SAMPLE FIELD DATA SHEET Rev 1/92 <br /> PROJECT NO SAMPLE ID w <br /> EMCQN PURGED BY �1 1' CLIENT NAME <br /> SAMPLED BY LOCATION <br /> TYPE Ground Water 41 Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) G I VOLUME IN CASING (gal ) <br /> DEPTH OF WELL (feet) , I CALCULATED PURGE (gal ) <br /> DEPTH TO WATER (feet) {.t 'u `, ACTUAL PURGE VOL (gal) �•S <br /> DATE PURGED S Z U End Purge 30 <br /> DATE SAMPLED Sampling Time rl 1 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> 20.00 m1 u its qq 25•C) V►YJ. IS M i } <br /> .� <br /> Z '� -�`�-Li <br /> 31 1.5- u. �b d� �- <br /> OTHER. . ��n rl��, ,Y'�t ODOR <br /> (CORA T 0.100) (NTU 0.200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (I a FB-1, X-DUP-i) <br /> PURGING„EQ,l,IIEME Fs[I <br /> Z'Bladder Pump Sailer(Teflons) 2'Bladder Pump Bauer(Teflon®) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Bailer(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardT Dedicated Well Wizardn Dedicated <br /> Other Otter <br /> WELL INTEGRITY �,414C)C_ �� Gl(1`fi - -•-- - LOCK# �2 I <br /> J <br /> REMARKS <br /> i <br /> pH, E C Temp Meter Calibration Date Time Meter Serial No <br /> EC 1000 1...- - pH7 pHIO pH4 <br /> Temperature OF <br /> Signature Revl)wed By Page of <br />