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> WATER SAMPLE FIELD DATA SHEET <br /> PURGED BY.� WELL I'D �l <br /> PROJECT A' �C��oo- bOy -O 1 " <br /> CLIENT NAME (iR� 213 SAMPLED BY: SAMPLE I D <br /> TION �,q D gl✓N t NO C i CI.� QA SAMPLES <br /> IDATE PURGED START(2400110 i�'�S�r�-- END CZ�110 ��---� <br /> DATE SAMPLED :A� "` 15 SAMPLE TIME(240011r) J <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER_ 2" 3. 4' _ 51_ 6- $' Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (feet) CASING VOLUME(gai) = �P. ti <br /> DEPTH TO WATER(feet) _ CALCULATED PURGE(gal) = <br /> 12 <br /> WATER COLUMN HEIGHT(feet) - ACTUAL PURGE(gal) = NO <br /> Wt <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) <br /> „SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY- <br /> 80% RECHARGE VYES NO ANALYSES <br /> ODOR N 0 Ne SAMPLE VESSEL I PRESERVATIVE_� �POPr S <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump ailer(Teflon) <br /> Bailer{I'eilon} Bladder Pump ---� R <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump ✓ sa11cr( PVC or _, isposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bader(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Odicr <br /> Pump Depth <br /> LocICIf o o s eWELL INTEGRITY12 — — <br /> REMARKS 6U(s1)1,-lr <br /> � 1� <br /> t <br /> Page� of � <br /> SIGNATURE <br />