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JLC.V![ �rccerrcu.ccu�cu� ��r.t.. <br /> p WATER SAMPLE FIELD DATA SHEET <br /> PURGED I3Y �L WELL I D �1�7 <br /> PROTECT# 0;7-. y18y�f OD 8 SAMPLE I D <br /> CLIENT NAME 4 2Zv 33 SAMPLED ICY <br /> TION v QA SAMPLES <br /> DATE PURGED N ��J START(24001+r) � END (24001+r) _P5_0 d <br /> DATE SAMPLED ��3�9`� SAMPLE TIME(24001u) _ y <br /> SAMPLE TYPE Groundwater Y Surface Water Treatment Effluent Other <br /> CASING DIAMETER <br /> 2- 3" 4- <br /> 5 6" 8" Otlicr <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (feet) = CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) _ _ CALCULATED PURGE(gal) = <br /> WATER COLUMN HEIGHT(feet) _ <br /> –r ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (24Whr) (gal) (degrees F) (umhosrcm) (units) (visual) ( ) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY +� <br /> 80% RECHARGE_ RYES NO ANALYSES. �fI <br /> ODOR �� �lnrfi� SAMPLE VESSEL r PRESERVATIVE <br /> PURGING EQUIPMENT _ SAMPLING EQUIPMENT <br /> Baiter(Teflon) Bladder Pump Bailer(Teflon) <br /> Bladder Pump u` _�Batter( _PVC ar disposable) <br /> Ccntnfuga! Pump \"1 Bailer(PVC) Centrifugal Pump <br /> Submersible Pump d (Stainless Steel) <br /> Submersible Pump Z 5 m D <br /> Sailer (Stainless Steel) Dedicated <br /> Peristaltic Pump Dedicated Peristaltic Pump <br /> Other <br /> Other <br /> Pump Depth <br /> I� p i <br /> WELL iNTEGRI LOCK1f <br /> REMARKS <br /> Page—q– of <br /> SIGNATURE <br />