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► WATER SAMPLE FIELD DATA SHEET <br /> y <br /> PROJECT II IG1(000- i-0 Li -p t PURGED BY WELL I D <br /> SAMPLE I D <br /> CLIENTNAME (),94-0 '2-133 SAMPLED BY. <br /> C �l <br /> LOCATION `L q Pj� <br /> D J7 F N D G �-� QA SAMPLES <br /> DATE PURGED START(2400111) SZ� END(240010 SS 3 <br /> DATE SAMPLED_ SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater Y Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2- 3' 4' ! 5 6- 8' Other <br /> Castng Volume (gallons per foot) (0 I7) (O 38) (0 67) (I 02) (I 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(fxt) = 2-u _ _ CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = .� CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(fea) _ �� - ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (ga (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> �SAMPLE,INFORMATIONSAMPLE DEPTH TO WATER_ SAMPLE TURBIDITY- <br /> $0% RECHARGE k"'/YES—NO ANALYSES ��? S /��L <br /> ODOR u 1v e- SAMPLE VESSEL I PRESERVATIVE V a � t h 6L <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bader(Teflon) <br /> Centrifugal pump Bader(PVC) Centrifugal Pump �X Bailer( _PVC or sable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other 011ier <br /> Pump Depth <br /> WELL INTEGRITY OI LOCK# <br /> REMARKS <br /> 11 <br /> 6 Page� of 1 <br /> SIGNATURE <br />