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S'EC.'UK international inc. <br /> WATER SAMPLE FIELD DATA SKEET <br /> PRorEcT a o��, PURGED BY WELL I D <br /> CLIENT NAME oj/W_0 <br /> L.0 <br /> l33 SAMPD IIY /}7,�L - _ SAMPLE I D <br /> TION v C N L QA SAMPLES <br /> DATE PURGED START(2400hr) CND(2400hr) ZS S <br /> DATE SAMPLED` SAMPLE TIME(24001ir) Z S <br /> SAMPLE TYPE Groundwater �_ 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 CASING VOLUME(gal) = ^` <br /> DEPTH TO WATER(feet) = 9 z q CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) = — ACTUAL PURGE(gal) = NC9 <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NT[.I) <br /> NlQ <br /> y SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER- SAMPLE TURBIDITY LDc,o <br /> 80% RECHARGE. YYES—NO ANALYSES. fI <br /> ODOR: 40 _ SAMPLE VESSEL/PRESERVATIVE f <br /> PU QUIPMENT SAMPLMG EQUIPMENT' <br /> Bladder Purnp ( Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pum l Bader(PVC) Centrifugal Pump y_Bailer( _PVC or �dnsposable) <br /> �^Submersible Pum Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INT6G jL p n' LOC <br /> REMARKS <br /> r <br /> Of <br /> SIGNATURE <br />