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J,[�l_.VL� Ll14G! !l.LLL4Vl4c.14 ac+�a.. <br /> WATER SAMPLE FIELD DATA SKEET <br /> PROJECT a It-j(,00- bOi{ -p ( PURGED BY WELL I D <br /> CLIENT NAME 69J-0 2 33 SAMPLED BY M SAMPLE I D <br /> • LOCATION. 2,,D SGG Q ?� NO G �-� QA SAMPLES <br /> DATE PURGED START(240011r) END (2400hr) � <br /> DATE SAMPLED <br /> y1 SAMPLE TIME(2400hr) <br /> ("�- - <br /> SAMPLE TYPE: Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER. 2" 3" 4- 51^ 6- 8- Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1.02) (I 50) (2-60) ( ) <br /> DEPTH TO BOTTOM(fart) CASING VOLUME(gal) = , <br /> DEPTH TO WATER(feet) _ CALCULATED PURGE(gal) = _1a�� <br /> WATER COLUMN HEIGHT(feet) _ k • AC'T'UAL PURGE(gal) = <br /> FIELD MEASUREMENTS <br /> DATE TIM&----,VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> 110 11 <br /> _► _ - 92-- <br /> t / `SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATERT l SAMPLE TURBIDITY <br /> 80% RECHARGE \/YF_S_NO ANALYSL S--T?TSG; <br /> ODOR OO G . SAMPLE VESSEL/PRESERVATIVE_ %W 1� <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bader(Teflon) f <br /> Centrifugal Pump Bader(PVC) Centrifugal Pump X Bader( _PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY [J!(20 K--) LOCIUI D D <br /> REMARKS <br /> SIGNATURE Page -/— of 4` <br />