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Sh COR 7lel"17afI01101 I17C <br /> WAFER SAMPLE, f=1LLD UA I A S1-11_L i <br /> OJECT#1 N/p po.�ao I -a i 13URGLD BY %,�l3< WELL I D <br /> LIENT NAME ��M[ O( L SAMPLED BY ( S Q SAMPLE i D J — <br /> LOCATION �o c K cfo� _ QA SAMPLES <br /> DATE PURGED /6 -r{-9S START(24001ir) 13 as END (24Wir) <br /> DATE SAMPLED /a- y-9� SAMPLE TIME(2400hr) 14 I O <br /> SAMPLE TYPE Groundwater k Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2" 3" 4" 5'_ 6' 8Other <br /> Casing Volume (galloris per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( } <br /> DEPTH TO BOTTOM(feet) _ /OQ CASING VOLUME(gal) = 'y'1 3 <br /> DEPTH TO WATER(feet) = -73 71 CALCULATED PURGE(gal) = 1 3 3 <br /> WATER COLUMN HEIGHT(feet) = Z C 01 ACTUAL PURGE(gal) = /q <br /> FIELD MEASUREMENTS <br /> DATE TD4E VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umbos/cm) (units) (visual) (NTU) <br /> 13. 10 S 7D, 2- _ 7 QS / t -i<� <br /> !0- 13: Zs /O (.,2 <br /> /e- Y-9.f 13: -VLA .. <br /> SAMPLE INFORMATION r <br /> SAMPLE DEPTH TO WATER_ SAMPLE TURBIDITY G ea r <br /> $0% RECHARGE YES NO ANALYSES7 BTE X <br /> ODOR /UO SAMPLE VESSEL/ PRESERVATIVE $ AIJ, L ORS �C L <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump K Bader(PVC) Centrifugal Pump >C Bailer( _PVC or K disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Order Other <br /> Pump Depth / <br /> WELL m <br /> IIrTIEGRr"y oa d <br /> Fiv�S <br /> SIGNATURE- ��d �^^ Page <br />