Laserfiche WebLink
WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ # ��, Job#: Z ��Q <br /> Facility # U ' <br /> Date: gl I(,Lo <br /> I �� <br /> Address: <br /> City: <br /> .S' c �-n Sampler: <br /> Well 1D <br /> Well Condition: O <br /> Hydrocarbon Amount Bailed <br /> Well Diameter Thickness' ����_ (productlweter): roel•1 <br /> Total Depth C)Z) valumc <br /> Com? Z" 0.17 6"- 150 3' - 038 IV � 5.80 41 - 0.66 <br /> Depth to Water Z7t <br /> G ` x v>: 3 (cese volurnel - Esiumated Purge Volurne: . <br /> Purge Disposable Bailer Sampling <br /> Equipment; Disposable Bailer <br /> Equipment: Bailer Bailer <br /> Stack pressure Bailer <br /> Suction Grab Sample <br /> rundfa 3 Other: .F—L, - - <br /> . Other. <br /> Starting Time: Q , Weather Conditions: <br /> 1 Water Color: Odor- <br /> Water riL <br /> Sampling Timer <br /> Sediment Description: <br /> Purging Flow Rate: <br /> f ' " yes; Time: Volume: <br /> Did well de-water? <br /> Con uedvity Temp r b= D.O. ORP j► <br /> Time Volume PH f (mg►L.) (mV) (PPM) <br /> (Ss1•) <br /> - <br /> LABORATORY INFORMATION <br /> SAMPLE ID l:} - CONTAINER <br /> REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> s K V flA �!r A L. ul0�a T M TO <br /> MW N44. Scx z-hC4*fCAB(0L6C <br /> COMMENTS: <br />