Laserfiche WebLink
~~ . o <br />Monitoring Well Sampling Form <br />Job No. ~~ Site Name t~ <br />Samplers ~~iHi~~ Date Reviewed by <br />i <br />Date <br />Sheet of <br /> Water in Well(f) <br />Sampling <br />Order <br />Well Diam. <br />In. <br />Date <br />Time Total <br />Depth Water' <br />Level <br />Feet <br />Gallons Evac.(2) <br />Method Gallons <br />Removed Sampling <br />Method(3) Equip.() <br />Clean.(4) <br />Comments <br /> <br /> <br />00 ~w2 'r 7 D: o SO.Go y . S <br />p hv~~ '' 10• Sb . 9~ <br />005 q" 11:7A ,~Q.3~ 3 . b / -~ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />• from WATER LEVEL AND PRODUCT THICKNESS FORM <br />1: TD-WL = FEET OF WATER IN WELL <br />GALLONS PER FOOT OF WATER <br />2" = 0.2 6" = 1.5 10" = 4.1 <br />4" = 0.7 8" = 2.6 12" = 5.9 2: WELL EVACUATION METHOD <br />P: PUMP WITH DROPLINE TO WATER <br />SURFACE <br />S: SUBMERSIBLE PUMP 3: SAMPLING METHOD <br />PVC -PVC BAILER <br />PE -POLYETHYLENE DISPOSABLE BAILER <br />TB -TEFLON BAILER SIGNATURE DATE <br /> B: BAILED <br />O: OTHER PD -PUMP DISCHARGE <br />SB -STAINLESS STEEL BAILER <br />4: EQUIPMENT CLEANING: ALL EQUIPMENT (i.e. WELL PROBE, DROPLINE FOR PUMP, BAILER, ETC.) WHICH WILL COME INTO CONTACT WITH <br />OTHER WELLS MUST BE CLEANED BETWEEN USES. <br /> <br />FORF18 1/08/11/98 <br />