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JL(,OR IntenuMonal 111C. <br /> p WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# o�-,�_. SIy41q oo 8 PURGED BY k WELL D <br /> LIENT NAME 412J-4033 SAMPLED BY SAMPLE I D _ LZ <br /> ` TION p n/ G QA SAMPLES <br /> DATE PURGED START(2400110 _ CND (24001ir) �`L D` — <br /> DATE SAMPLED SAMPLE TIM£(24001ir) 20 <br /> SAMPLE TYPO Groundwater _ <br /> Surface Water Treatment Effluent Other <br /> 2' 3. � 4 5. 6• g• Other <br /> CASING DIAMETER ( ) <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 64) <br /> DEPTH TO BOTTOM (feet) = CASING VOLUME(gal) = _ <br /> DEPTH TO WATER(feet) = _> _L�3 CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT (feet) = ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NT`U) <br /> 0rA <br /> SAMPLE INFORMATIOri <br /> SAMPLE DEPTH TO WATER .^SL)' LA _ SAMPLE TURBIDITY: <br /> Ar <br /> 30% RECHARGE YYES,NO ANALYSES. ft' <br /> ODOR SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> �i�C Bailer(Teflon) Bladder Pump Bailer(Teflon) ) <br /> Bladder Pump Centrifugal Pump V Bailer( _PVC or >Ldis sabie <br /> Centrifugal Pum Bader(PVC) <br /> --Submersible Pump m Bailer(Stainless Steel) Submersible Pump Bader(Stainless Steel) <br /> Dedicated Peristaltic Pump Dedicated <br /> Peristaltic Pump <br /> Other <br /> Other <br /> Pump Dcpdi <br /> I <br /> LOCK# <br /> WELL INTEGRITY <br /> REMARKS <br /> f <br /> Page of <br /> SIGNATURE <br />