Laserfiche WebLink
3h(-U.R lnieriwuivnuc inc- <br /> WATER <br /> nc- <br /> WATER SAMPLE FIELD DATA SKEET <br /> PROJECT# � -z PURGED BY WELL I D <br /> CLIENT NAMES SAMPLED BY CIN` SAMPLE I D _ �Z <br /> CATION G Y QA SAMPLES <br /> DATE PURGED O GlIC START(2400hr) `�Z END (24001%r) <br /> DATESAMPLED 58 SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER_ 2- 3" 45'� 6" 8" Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) = -,q r CASING VOLUME(gal) _ <br /> DEPTH TO WATER(feet) = �F 3 CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY plI COLOR TURBIDITY <br /> (2.400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NM <br /> ^zsf� /y3 GfGL X3.6 /�3/ 7 60 <br /> SAMPLE INFORMATION "- <br /> SAMPLE DEPTH TO WATER_ �� 3 � SAMPLE TURBIDTI'Y z6c.--) <br /> 80% RECHARGE _YES NO ANALYSES / (;�/'/— <br /> ODOR SAMPLE VESSEL/ PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bader(Teflon) <br /> Centrifugal pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or disposable) <br /> Submersible Pump Basler(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Penstalttc Pump Dedicated Peristaltic Pump Dedicated <br /> Odner Other <br /> Pump Depth <br /> WELL INTEGRITY ) LOCK# <br /> REMARKS -Z <br /> r <br /> SIGNATUREAOL_ [�%OA� Page of <br />