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Jl�LVLt Lltte.r rr.t.e.Le.vr�-+-� �•��- �(, <br /> „ WATER SAMPLE FIELD DATA SKEET <br /> PROJECT I 10-4600- 60 LA -Q ( PURGED BY _]](� WELL I D <br /> CLIENT NAME 69-CO 2133 SAMPLED BY. ria SAMPLE I D ._ <br /> ON `fig D gi✓n} } C� QA SAMPLES <br /> f END (24001►r) <br /> AW-A- <br /> DAT7E PURGED e START 40011r) <br /> DATE SAMPLED ��� -`� SAMPLE TIME(2400110 �� • V <br /> SAMPLE TYPE. Groundwater <br /> Surface Water Treatment Effluent Other <br /> � -- <br /> CASING DIAMETER. 2- 3- _ 4- 5' 6' 8' Other <br /> Casing Volume. (gallons per foot) (0 I7) (0 38) (0 67) (I 02) (L 50) (2 60) { ) <br /> DEPTH TO 130TTOM(feet) CASING VOLUME(gat) = S _ <br /> DEPTH TO WATER(feet) _ CALCULATED PURGE(gal) = , <br /> WATER COLUMN HEIGHT(feet) <br /> ACTUAL PURGE(gal) U ajoilf <br /> FIELD MEASUREMENTS <br /> VOLUME TEMP CONDUCTIVITY PH COLOR TURBIDITY <br /> DATE TIME umhosfcm) (un cts (visual) (NTU) <br /> (2400hr) {g (dc (, n , Q {.1�) <br /> SAMPLE DEPTH TO WATER' <br /> ,SAMPLE INFORMATION <br /> SAMPLE TURBIDITY: <br /> ...^ .. <br /> 8056 RECHARGE ` YES�NO ANALYSES_ ' CT ► —=—� � <br /> ODOR lY8 IV SAMPLE VESSEL I PRESERVATIVE_ :?;o <br /> SAMPLING EQUIPMENT <br /> PURGING EQUIPMENT <br /> Bader{Teflon) Bladder Pump Bailer(Teflon) <br /> Bladder Pump Centrifugal Pump �LC Bailer( "PVC or "dssablc) <br /> Centrifugal Pump Bader(PVC) <br /> Bailer(Stainless Steel) _Submersible Pump Bailer(Stainless Steel) <br /> Submersible PumpPeristaltic Pump Dedicated <br /> Peristaltic Pump Dedicated <br /> Odtcr <br /> Othcr <br /> Pump Depth �7 <br /> D LOCKA <br /> WELL INTEGRITY <br /> REMARKS <br /> is :1�� l <br /> Page� of <br /> SIGNATURE <br />