Laserfiche WebLink
lit <br /> SAMPLING INFORMATION SHEET cam <br /> E,nriranme�I <br /> swtants,Inc. <br /> Sample ID# Protect Name. _ Project Noll?^go, <br /> i' tion (address) <br /> r gate Sampled: _'P /CLQ / 05 Time: <br /> I �W#P"assembly condition: Good Fam Poor(If poor, see comments) <br /> Equi, pent Replaced: bolts locks locking rap <br /> Wefl'�epth ft below top of casing Caste diameter <br /> Casing itches <br /> 9df tq water(below top of casing) : t Z ft. Date: t / Time <br /> WaWCasing Volume Multiplier: 0.16 for 2", 0.65 for 4", 1.47 for S" <br /> i `Nibhg method: Submersible pump Bailer Centrifugal pump Other <br /> At Ieast well volumes have been evacuated before sampling. <br /> Tubbing(typo. - (new or previously used) was used to purge well <br /> Sampling method: Disposable bader Sampling port <br /> Samples colleicted Sample appearance <br /> Note any sampling problems <br /> GROUND WATER EVACUATION/SrABiLIZATION DATA <br /> Cumulative Volume of <br /> " Conductance Water Level Water Removed from Weil <br /> Tune �° Temperature ("F} Q$Units (umnos/cm) (Nearest 0102 ft <br /> (gallons) <br /> o t' - = <br /> Comments. <br /> Tgwportabon(thermal preservation) <br /> Form completed by. Sampled by. <br /> 3 <br />