Laserfiche WebLink
,l SEC OR IntenuMonal Inc. <br /> WATER SAMPLE FIELD DATA SHEET r <br /> PRO]ECT# v-r-r L4 t 12 F d5 d PURGED BY 1 S <br /> WELL I D <br /> NAME A r to Zo�i i SAMPLED BY SAMPLE I D <br /> TION Z TI"etic 9 1�1 �R � C� QA SAMPLES <br /> DATE PURGED P START(2400hr) I`' is END (2400hr) <br /> DATE SAMPLED 7--? f 0j SAMPLE TIME(24001ir) l <br /> SAMPLE TYPE Groundwater ' \ Surface Water Treatment Effluent Other <br /> CASING DIAMETER 7 3' 4' 5' 6" 8' Other <br /> Casing Volume (gallons per foot) (0 I7) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (feet) = 3 d CASING VOLUME(gal) = 3 + <br /> DEPTH TO WATER(feet) = �� 5� CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) r ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NM <br /> 00 <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER- SAMPLE TURBIDITY. <br /> 80% RECHARGE- ,"YES NO ANALYSES. <br /> ODOR <br /> ` ` SAMPLE VESSEL/PRESERVATIVE DA <br /> 7PUGI�NGjEQUI ENT SAMPLING EQUIPMENT <br /> Bailer(Teflon) Bladder Pump Bader(Teflon) <br /> Centrifugal Pp �Bladder Pump ` F Bailer(PVC) Centrifugal PumpBailer( _PVC or _.disposable) <br /> Submersible p��?� �� Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump <br /> ti Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> ce, t <br /> WELL INTEGRITY t�O /iLOCK# <br /> REMARKS <br /> Page I of C..r <br /> SIGNATURE i <br />