Laserfiche WebLink
' p�`LJ Enaroninrnhl�lul�geairnl IuC GROUNDWATER SAMPLING FORM <br /> 207 F"s[Enrtl Drne Susie 478 <br /> r hocni� on� Sn012 Well No <br /> 1403)728 0707 <br /> Site ID '7 pCr c�� Well Monit 0 Remedial-VE AS <br /> Protect No oa Z 7 p R b� 6 Well EJ PV 0 St Steel 0 Other <br /> Date 3-(q-0 I ilmeZ�10 <br /> Recorded _ ��D,�nr1- Sampled By <br /> WELL PURGING <br /> ;PU- <br /> geVolumePurge Datevsing Diameter(D)In <br /> ,aa 2-Inch ❑ 4-inch ❑ 6-rnch ❑ Other ❑ Bolter-Type <br /> ❑ <br /> Total Depth of Casing JD In feet Other <br /> Submersible Whale <br /> Water level Depth(WL In feet BTOC) <br /> Number of Well Volumes(4 Vols)to be Pump Intake Setting <br /> 0.3 ❑4 ❑5 ❑Other ❑ Near Bottom V Near Top ❑ Other <br /> Depth In feet <br /> Purge Volume Screen Interval In Feet(STOC) <br /> to <br /> iL--T((fee't) WL fJ X X D(Inches) q vols 3 X 0 0409 = t � ,� gallons <br /> I <br /> Pump Time <br /> Cp1Culated Purge <br /> Purge Rate Actual Purge Volume <br /> start_r33s Stop 13 S S Time Elapsed Initial ppm <br /> gallons <br /> Field Parameter Measurements Final ppm <br /> Time lime Lapsed Gallons Con Cond <br /> 10e.pl p f Purged (u os/cm) (u s/cm) Temp pH Notes <br /> Observations During Purging(well Condition Turbidity Color Odor <br /> Purge Water <br /> Drum(s) ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date �--�—p r Sampling Zlme 3/S` <br /> Sampling Method Water Level Before Sampling(in feet 8TOC) <br /> Bailer-Type ❑ Some as Above <br /> ❑Submersible ❑ Whole ❑ Grob-Type <br /> Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> r <br /> No Containers Vo! # Analysis Preservative Lab Comments <br /> _p p <br /> Other Notes <br />