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WATER SAMPLE FIELD DATA SHEET t <br /> BY WELLI D E— 14 <br /> PROJECT rs �(�l(,Oo- boy -o t PURGED <br /> CLIENT NAME- RR-CD '2A-6 SAMPLED BY- _fA SAMPLE I D CA <br /> LOCATION q_q b Ge-rj F No C ► Q-� QA SAMPLES <br /> t ► <br /> DATE PURGED `V START(24001ir) [� END (240040 1 <br /> DATE SAMPLED SAMPLE TIME(2400hr) 0 b <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2' 3- _)< 4- 5' 61 8- Other <br /> Casing Volume_(gallons per foot) (0 I7) (0 38) (0 67) (1.02) (I 50) (2 60) { ) <br /> DEPTH TO BOTTOM(feet) �— CASING VOLUME(gal) <br /> DEPTH TO WATER(feet) _ ,, 11 CALCULATED PURGE(gal) = Z�r <br /> WATER COLUMN HEIGHT(feet) 2 Z•`1 ACTUAL PURGE(gal) _ N36 <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY PIS COLOR TURBIDITY <br /> (gal) <br /> j (degrees F) <br /> (um�, (�.J� (VISLLAI) (NTIJ) <br /> D SAMPLE,INFORMATION q 1 <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY lI3W <br /> 80% RECHARGE Lyf-S No ANALYSES <br /> ODOR SAMPLE VESSEL 1 PRESERVATIVE �-- <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Y_Bailer( _PVC or tsposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bader(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth ^ <br /> WELL INTEGRITY LOCK! Oc�o Cl <br /> REMARKS o� A A <br /> 1 <br /> SIGNATURE Page of _1 <br />