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WATER SAMPLE MELD DATA SKEET <br /> ,a r <br /> 11 <br /> PROJECT �C�{oOC7- b0'{ -p t PURGED BY WELL.I D <br /> CLIENT NAME (W-CO 2-k63 SAMPLED BY_ _njV SAMPLE I D iv <br /> TION �g b gi✓N� t Na C, + CPt QA SAMPLES n <br /> DATE PURGED LT START(24001ir) 'Q END(2400hr) Q t' Zy <br /> (� SAMPLE TIME(240010 { <br /> DATE SAMPLED -1 <br /> SAMPLE TYPE. Groundwater Surface Water Treatment Effluent <br /> Other <br /> CASING DIAMETER. -2 3 4' 5- 6' 8' Other <br /> Casing Volume-(gallons per foot) (0 17) (0 38) (0 67) (1 02) (t 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) = 2 CASING VOLUME(gal) = <br /> 4WATEDEPTH TO WATER(feet) = rI.D CALCULATED PURGE(gat) = -4-LA- <br /> WATER <br /> R COLUMN HEIGHT(feu) = Z ACTUAL PURGE(gat) = t k2 .0 <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrces F) (um�hosfcm) (� (visual) (NPU) <br /> 12. 1 - 1 <br /> � „SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> Lo <br /> 80% RECHARGE to KM—NO ANALYSES P MI- <br /> ODOR <br /> ODOR i Vl IV%rIE SAMPLE VESSEL/PRESERVATIVE, s L' <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(reflon) Bladder Pump Baiter(Teflon) <br /> Centrifugal Pump Ballet(PVC) Centrifugal Pump Bailer( _PVC or ispasable) <br /> ^�:7VIubmersiblc Pump <br /> Bailer(Stainless Steel) Submersible Pump Bader(StalnleSs Steel) <br /> _ <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other 011ier <br /> Pump Depth Z 12` <br /> WELL.INTEGRITY � OD� LOCtC11 <br /> REMARKS �� r s �i_rn VJ <br /> t I G r <br /> Page of J_ <br /> SIGNATURE <br />