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JLC.CI.K lntenuVionac inc.. <br /> * WATER SAMPLE FIELD DATA SKEET <br /> PROTECT# 0 �. �fJByq oo 8 PURGED BY 1L WELL I D ` Z <br /> CT.IENT NAME ojfi.6 0 743a SAMPLED BY SAMPLE I D 2— <br /> TION <br /> ,CION p " 12,61 QA SAMPLES <br /> DATE PURGED �5 START(2400Eu) !�!1� - r END (2400111) US U <br /> DATE SAMPLED a - J 3 Qg SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater _X_ Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2' 3- _)�_ 4' 5'� 6' 8' Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) = 2 l CASING VOLUME(gal) _ <br /> r <br /> DEPTH TO WATER(feet) _ _ l 1 !} CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) = r-- ACTUAL PURGE(gal) ,00y-llr�: _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY PH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NT'U) <br /> SAMPLE INFORMATION w <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGE: YES No ANALYSES f1 <br /> ODOR SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bader(Teflon) Bladder Pump Baiter(Teflon) <br /> Centrifugal Pump (e Bailer(PVC) Centrifugal Pump Batter( __PVC or X_dtsposable) <br /> Submersible Pump 2��.ti, Bailer(Stainless Steel) Submersible Pump Batter(Stainless Steel) <br /> Dedicated Peristaltic Pump Dedicated <br /> Peristaltic Pump <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRI LOC C21— <br /> REMARKS <br /> ?SIGNATURE ` Page 5 of <br />