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L-)A-, LIWAII I"14- &-%."j- +- --- <br /> „ WATER SAMPLE FIELD DATA SHEET <br /> PROJECT C1600- b0L{=p PURGED BY WELL I D <br /> E— <br /> # -s <br /> SAMPLE I D <br /> CLIENT NAME- (W- O 2k33 SAMPLED BY: _ro lL <br /> C L- <br /> TION. �.g D GEIN k hl H0 G I CR QA SAMPLES <br /> DATE PURGED START(2400110 END(2400110 <br /> SAMPLE TIME(2400hr) <br /> DATE SAMPLED3" SAM <br /> �I'��, i <br /> Surface Water Treatment Effluent Other <br /> SAMPLE TYPE- Groundwater � <br /> 6- 8' Other <br /> CASING DIAMETER 2' 3. 4' 5 i 02) (S 50) (2�) ( ) <br /> Casing Volume (gallons Per foot) (0 17) (0 3g) (0,67) <br /> DEPTH TO BOTTOM(feet) �—� CASING VOLUME(gal) = 2Z <br /> DEPTH TO WATER(feet) = CALCULATED PURGE(gal) = Stn. <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) (umhoslcm) (units) ( ) l .(I`TU) <br /> SAMPLE INFORMATION <br /> R_ SAMPLE TURBIDITY_ <br /> SAMPLE DEPTH TO WATE <br /> 8096 RECHARGE vYFS—NO ANALYSESI tom- / ' ' <br /> ODOR SAMPLE VESSEL I PRESERVATIVE 3 \j 0 <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bader(Teflon) Bladder Pump Bader(Teflon) � � <br /> Bladder Pump ✓Ballet _PVC or [%disposable} <br /> Centrifugal Pump Bader(PVC) Centrifugal Pump ( <br /> el) Submersible Pump <br /> Bader Stainless Steel) <br /> Submersible Pump Bailer(Stainless Ste <br /> Peristaltic Pump <br /> Dedicated Peristaltic Pump Dedicated <br /> Other <br /> Other <br /> Pump Depth <br /> fLOCKh' O <br /> WELL INTEGRITY <br /> REMARKS <br /> i <br /> Page J— <br /> J— <br /> SIGNATURE <br /> of <br /> SIGNATURE L <br />