Laserfiche WebLink
i <br /> i4L A- LJ Enriromnent�l�rnn�gcmrei� Istc GROUNDWATER SAMPLING FORM <br /> • 202 E.'L5l Earl[Drivem J7$ �I <br /> 1r�z5 ? <br /> (602)7 —L <br /> SG92Y 72$07077 0IWell No <br /> i Well KMonit ❑ Remedial-VE AS <br /> Site iD j1? Well ❑ PV ❑ St Steel❑ Other <br /> PTOJeCt No C07 7 Oq b Date -(4-0 1 Tune_ / /D <br /> Recorded Cr Sampled By <br /> WELL PURGING <br /> Purge Volume Purge Date ?!--44-0{ Purge Method <br /> Casing Dameter(D)in Boiler-Type <br /> 2-Inch ❑ 4-inch L:16-inch [I Other KSubmersible El Whole <br /> Total Depth of Casing JD In feet ❑ Other <br /> Water Level Depth(WL In feet BTOC) pump Intake Setting <br /> Number of Well Volumes(#Vols)to be <br /> ❑ m <br /> 3 El 4 ❑5 ❑ Other Near BottoNear Top ❑ Other <br /> Depth in feet <br /> Purge Volume Screen Interval In Feet(BTOC) <br /> � --� '',, � 1 2 to <br />■■ TDTD(f � T 14 L�J X 2 X X 0 0409 I S,C4WIL gallons <br /> D(Inches) #Vols Calculated Purge <br /> Pump Time I iPurqe Rate Actual Purge Volume <br /> Start I c3o Stop_(1, Time Elapsed initial {fpm �� gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Gond 1 Con Tem <br /> Purged (umh cm) (u oslcm)101 _7 p pH Notes <br /> .0 ! 5r Dr Gd [�f <br /> 3' <br /> Observations During Purging(well CondItior-L Turbidity Color Odor <br /> IPurge Water Drum(s) Storm Sewer Sanitary Sewer <br /> ❑ ❑ rY <br /> Cher <br /> IWELL SAMPLING <br /> 5ampiing Date _Z Z-p t ISampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) ys <br /> Boiler-Type ❑ some as Above <br /> Submersible ❑ Whole ❑ Grab-Type <br /> Other <br /> ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol # Analysis Preservative Lab Comments <br /> -Q <br /> i <br /> Other Notes <br /> I <br />