Laserfiche WebLink
WATER SAMPLE FIELD DATA SKEET 12- <br /> PROJECT <br /> 2PROJECT# - — Q ` PURGED BY rnV WELL I D �P T— <br /> CL.IENT NAME AQ-D ZM 3 SAMPLED BY: iM1L SAMPLE I D <br /> L �_ QA SAMPLES <br /> CATION r <br /> DATE PURGED _'}"�5 START(2400hr) END (2400hr) Ip <br /> DATE SAMPLED — SAMPLE TIME(240010:FL2 _©0 <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2- 3' 4' _ 5" 6' 8' Other <br /> Casing Volume-(gallons per foot) (0 17) (0 38) (0 67) (I 02) (I 50) (2 60) ( } <br /> DEPTH TO BOTTOM(fee() _ 9 - CASING VOLUME(gal) = _S_ <br /> DEPTH TO WATER(feet) = CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) CSV J ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUC WITY pH COLOR TURBIDITY <br /> (2� (gal) (degrees F) <br /> (ttm� �{unin�u) vistQ.�— <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80`,6 RECHARGE V YES—NO ANALYSES <br /> ODOR- S '�f1 , I\ SAMPLE VESSEL 1 PRESERVATIVE, �[ y ��CSL_. <br /> PURGING EQUIPMENT 0 <br /> Vj SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or _dV isposable) <br /> Submersible Pump Bailer(Stainless Stec[) Submersible Pump Bader(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# q _ <br /> REMARKS <br /> U <br /> Page of <br /> SIGNATURE �� <br />