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NtI(-uK inienumonut 1110. <br /> WATER SAMPLE FIELD DATA SHEET <br /> 'PROJECT#: I4-4 . L V44 . a l Z PURGED BY: IV A WELL E.D.: <br /> CLIENT NAME: NVZ-C_p L4 y SAMPLED BY: SAMPLE I.D.: fVIW J <br /> TION: Z D 5 NO2i le S QA SAMPLES: <br /> DATE PURGED START(24WIir) END(2400hr) C19 0 <br /> DATE SAMPLED _ SAMPLE TIME(24001ir) D <br /> SAMPLE TYPE: Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER: 2` 3" 4- 5- S" _ 8" Other <br /> Casing Volume: (gallons per foot) (0.17) (0.38) (0.67) (1.02) (1.50) (2.60) { } <br /> DEPTH TO BOTTOM (feet) = 2 S CASING VOLUME(gal) _ <br /> DEPTH TO WATER(feet) = l �. ,�3 CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) _ — ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> i <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY i <br /> (2400hr) (gal) (degrees F) (umhos/em) (units) (visual) (NTU) ' <br /> T— <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: ' S 3 SAMPLE TURBIDITY: <br /> 80% R.ECHARGE:4YES JNO ANALYSES: 4 t mt <br /> ODOR: SAMPLE VESSEL I PRESERVATIVE: <br /> PURGIN TIIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) `/ <br /> Centrifugal Pu Bailer(PVC) Centrifugal Pump Bailer( PVC or disposable) <br /> Submersible Pu p Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pum Dedicated Peristaltic Pump Dedicated <br /> Other: Other: <br /> Pump Depth: t ' <br /> WELL INTEGRITY: LOCK#: <br /> REMARKS: <br /> Pageof <br /> SIGNATURE: t <br />