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WATER SAMPLE FIELD DATA SHEET x <br /> rPURGED BY_ WELL I D Q~ <br /> PROIECT it X1(000-- b04 —D 1 <br /> CLIENT NAME (\9-co -12AZ SAMPLED BY SAMPLE I D �� <br /> TION `��D BION F Ho G ? C� QA SAMPLES <br /> DATE PURGED I START(240011r) 013 2— SND(2400110 <br /> D -59 <br /> ATE SAMPLED 3 —1 "t SAMPLE TIME(24001ir) O <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2- 3• 4 6 8" Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) 5 (1 02) (l 50) (2�)` ( } <br /> DEPTH TO BOTTOM(feet) _ 2-7 �O 2 CASING VOLUME(gal) _ <br /> L4 i9 <br /> DEPTH TO WATER(Eat) _ IeT CALCULATED PURGE(gal) — 44 _ <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) <br /> Z <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY PH COLOR TURBIDITY <br /> (2400hr) (gal) (degr F) (umhoslan) (units) (visual (NTLI) <br /> 6 0 ---r - <br /> ,SAMPLE INFORMATION ,, ) <br /> SAMPLE DEPTH TO WATER + 4 SAMPLE TURBIDITY: v" <br /> 80% RECHARGE VYFS^NO ANALYSES -C / VIA=-AC — <br /> ODOR <br /> SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bailer(Teflon) Bladder Pump �ailer(Teflon) <br /> Bladder Pump Bailer _PVC or _d[sposabie) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump ( <br /> Submersible Pump Bailer(Stamicss Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated <br /> Peristaltic Pump Dedicated <br /> Other <br /> Other <br /> Pump Depth ((� <br /> WELL INTEGRITY ^�� LOCKI! <br /> REMARKS <br /> Page of <br /> SIGNATURE <br />