Laserfiche WebLink
SAMPLING INFORMATION <br />1. Can water level be measured? YES_ NO_ Why not? <br />2. Can well be sampled? YES_ NO_ Why not?_ <br />3. Sampling tap location: upstream from a holding tank? <br />If yes, give size of tank gal <br />pressure tank? <br />4. Any water treatment upstream from sampling point? YES _ NO _ If yes, describe: <br />5. Other notable well features, if any (pitless adapter, frost pit, missing or leaky cap, well house, chemicals <br />stored near well): <br />6. Water Quality? Taste: Odor: Color: Remarks: <br />7. Minimum rate at which pump in well can be operated: gal/min <br />WATER-QUALITY FIELD MEASUREMENTS <br />Location of sampling point <br />00010 Temperature °C 00095 Specific Electrical Conductance uS/cm <br />00400 pH 00300 Dissolved oxygen mg/L 00076 Turbidity NTU <br />Other <br />AVAILABILITY OF ADDITIONAL INFORMATION (refer to Well Information Check List <br />(see Installation) and include in inventory file): <br />1. Water-level records? YES NO <br />2. Pumping records? YES_ NO_ Remarks: <br />3. Water-chemistry records? YES_ NO_ Remarks: <br />4. Borehole geophysical logs? YES_ NO_ Type: <br />5. Surface geophysical surveys? YES_ NO` Type: <br />6. Aquifer tests? YES_ NO_ Type: <br />7. Geologic materials samples? YES_ NO_ Type: <br />8. Land-use records for well vicinity (for example, pesticide and fertilizer application rates): <br />REMARKS, SITE SKETCH, AND WELL-HEAD SKETCH (showing locations of sampling point, <br />holding tanks, and so forth) (Township Range Section Quarter_): <br />Figure 1. Example of a well-inventory form for the National Water-Quality Assessment Program--Continued. <br />18