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, R WATER SAMPLE FIELD DATA SKEET <br /> X <br /> ~ PURGED BY WELL I D G S <br /> PROTECT/!.�C�(o00- bOy -D 1 -� <br /> CLIENTNAME- (N9J-0 2-133 SAMPLED BY- M_I,L SAMPLE I D.' e.'?� <br /> TION 9AD? GE*1 t N O G + Q-� QA SAMPLES <br /> DATE PURGED START(24001tr) 4 ' A47 END(2400hr) I Z� <br /> DATE SAMPLED 3 l l-�i I SAMPLE TIME(240010 kv <br /> SAMPLE TYPE- Groundwater Surface Water Treatment Effluent Other <br /> 2- 3' 4' 5- 6' 8- Other <br /> Ca is <br /> CASING <br /> 1Vollumed(gallons per foot) (0 17) (�) (0 67) (1.02) (1.50) (2 60) { ) <br /> DEPTH TO BOTTOM (feet) = 2LI DO 2••19 CASING VOLUME(gat) = k,_1 <br /> DEPTH TO WATER(fcco = CALCULATED PURGE(gat) <br /> WATER COLUMN HEIGHT(feu) _ ACTUAL PURGE(gat) - d <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gat) (degrees F) (umbos/em) (unLts) (visual) (NTU) <br /> Lb LAD <br /> Q SAMPLE INFORMATION l __ - <br /> oy <br /> SAMPLE DEPTH TO WATER U SAMPLE TURBIDITY -' <br /> 80% RECHARGE —NO ANALYSES._ k 1 <br /> ODOR V,`+w SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pum Baiter(Teflon) Bladder Pump Bader(Teflon) <br /> Pump Bailer _PVC or disposable) <br /> Centnfugal Pump Bader(PVC) Centrifugal Pump �� ( <br /> Submersible Pump Bader(Stainless Steel) Submerstble Pump Bailer(Seamless Steel) <br /> Peristaltic Pump <br /> Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> LOCiVI O <br /> WELL INTEGRITY >�D <br /> REMARKS t <br /> Page_ of i <br /> SIGNATURE <br />