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JLC OR Intenurtionat Ine. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT a p��, tI1851 q DO 8 PURGED BY k- WELL I D t - to <br /> FPURGED <br /> NAME '1RC!? w3a SAMPLCD ICY SAMPLE I D C ' i.n <br /> ON v NQA SAMPLES <br /> DA95 START(2400[ir) 2 0 END (2400hr) 1-2-0 <br /> DATE SAMPLED Ct - Ij — qg SAMPLE TIME(2400hr) ) Zd '�- <br /> SAMPLE TYPE Groundwater �_ Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" 3" _y� 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) _ 1q.S CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = (p Q CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGIJ'r(feet) = r ACTUAL PURGE(gal) = NO �„.r�C,C-- <br /> FIELD <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhoslcm) (units) (visual) (NTU) <br /> SAMPLE INFORMATIONSAMPLE DEPTH TO WATER- _ SAMPLE TURBIDITY- <br /> 80% RECHARGE_ YES NO ANALYSES <br /> ODOR -^ SAMPLE VESSEL I PRESERVATIVE f' <br /> PURGING UIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump N�� Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pum Bailer(PVC) Centrifugal Pump �_Bailer( _PVC or �<_dtsposablc) <br /> �^Submersible Pump 25Pm Bailer(Stainless Steel) Submersible Pump Bader(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL[NTE 1 L p,i LOCK# <br /> REMARKS <br /> SIGNATURE / Pagc6 of <br />