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WATER SAMPLE FIELD DATA SKEET <br /> .z WELL I D F <br /> PROIECT ff 1(-4600- boy -o k PURGED BY - <br /> CLIENT NAME P,9-CO "2X3 SAMPLED BY. SAMPLE I D <br /> LOCATION �.g D gEN� F HB G ? 0-� QA SAMPLES }�, <br /> DATE PURGED ;v START(24001►r) END (2400k) �L L �O <br /> PATE SAMPLED J~ ( 9 SAMPLE TIME(24WItr) <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" 3' 6 8' Other <br /> Casing Volume (gallons per foot) (0 17) {0 38) 4' 5.(0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) = k 'i CASING VOLUME(gal) = „ _ <br /> DEPTH TO WATER(feet) - q CALCULATED PURGE(gal) _ _ ,-.- <br /> WATER COLUMN HEIGHT{feet) = S ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (�2400hr) (gal) (degrees F) (um�cin) (amts) (visual) (NIU) <br /> 3 1 � I W ail t � —�2.-S a (�•�- ,ea� l.o <br /> r SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER l0•(�S SAMPLE TURBIDITY: <br /> LDUOR <br /> 80% RECHARGE �f YES�NO ANALYSES �� T — <br /> ODOR 0 SAMPLE VESSEL I PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> IIa�lct(Cellon) Bladder Pump flon) <br /> Bladder Pump _ Zdisposable) <br /> Centnfugal Pump Bader(PVC) Centrifugal Pump Bader( PVC ar <br /> Submersible Pump Bader(Stainless Steel) Submersible Pump Bailer(Stateless Steel) <br /> Dedicated Peristaltic Pump Dedicated <br /> Peristaltic Pump <br /> Other Ocher <br /> Pump Depth <br /> LOCKI! <br /> WELL INTEGRITY <br /> REMARKS <br /> Page of <br /> SIGNATURE <br />