Laserfiche WebLink
® WATER SAMPLE FIELD DATA SHEET Rev.5/96 <br /> PROJECT NO: SAMPLE D:).- <br /> PURGED <br /> D:PURGED BY: CLIENT NAME: <br /> SAMPLED BY: LOCATION: <br /> TYPE: Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches): 2 3 4 4.5 6 Other <br /> CASING ELEVATION(feet/MSL); VOLUME IN CASING(gat.): <br /> DEPTH OF WELL(feet): CALCULATED PURGE(gal.): <br /> DEPTH OF WATER(feet): ACTUAL PURGE VOL.(gal.): <br /> s <br /> DATE PURGED: END?URGE: <br /> DATE SAMPLED: SAMPLING TIME: <br /> TIME VOLUME pH E.C. TEMPERATURE TURBIDITY TIME <br /> (2406 HR) (gal.) (units) (µmhoslcm(o)25"c) ("F) (%isuatwm (2400 HR) <br /> l <br /> OTHER: ODOR <br /> ® (COBALT 0-100) (NTU 0-200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i.e.FB-I,XDUP-I): <br /> PURGING EQ�MENI SAMPLING EOUIPMENT <br /> j <br /> 2"Bladder Pump Bailer(Teflon) 2"Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Bomb Sampler Baiter(Stainless Steel) j <br /> Submersible Pump Baiter(Stainless Steel) Dipper Submersible Pump <br /> Well WizardTm Dedicated Well Wizard'M Dedicated <br /> Other. Other. <br /> WELL INTEGRITY: LOCK: <br /> REMARKS: <br /> pH,E.C.,Temp.Meter Calibration: Date: Time: Meter Serial No.: <br /> E.C.two ! pH 7 ! pH 10 / pH 4 <br /> Temperature IF I <br /> t <br /> SIGNATURE, REVIEWED BY: PAGE OF <br /> FIGt1RE <br /> F <br /> TER SAMPLE FIELD DATA SHEET <br />