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~_ S-COR Intern ttomU 111C. <br /> WATER SAMPLE FIELD DATA SHEET <br /> WELL I.D.'• I�•S. } <br /> PROIEG"I'r: Q7,Z,�tT'�'? .or�'3 PURGED DY:: � -�—� ��.—�•,•� <br /> NAME- <br /> 0 <br /> d SAMPLED[3Y• SAMPLE LD <br /> QA SAMPLES <br /> 4r-n0;ZtL000 C, i - 4 <br /> DATE PURGED Z_ _I _M, START(240011r) 7— END(2400hr) 1 <br /> DATE SAMPLED ?--f-7-03 SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER Z" >1,, 3„ 4" 5- 6- 8" (2 60) Other <br /> ( ) <br /> Casutg Volume. (gallons per foot) (0 17) (038) (0 67) (L 02) (150) <br /> g � � L <br />� DEPTH TO BOTTOM(feet) = CASING VOLUME(Pt) = q r <br /> CALCULATED PURGE(gal) = 1 1 <br /> DEPTH TO WATER(feet) <br /> WATER COLUMN HEIGHT(feet} = t AC I UAL PURGE(gal) = 1 1 <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP_ CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) ai) (degrees F) (umhos/em) (units) (visual) (N TU) <br /> S � <br /> 1 OD <br /> 'I t 0� <br /> i <br /> i <br /> O. 1 SAMPLE IAC!~ORMATION <br /> SAMPLE TURBIDITY: <br /> SAMPLE DEPTH TO WATER <br /> 80% RECHARGE—� NO <br /> ANALYSES. <br /> ODOR <br /> SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Bladder Pump Centrifugal Pump _ —Aa=ler( _PVC or Xdisposab(c) <br /> Centrifugal Pump Bader(PVC) <br /> Submersible Pump 2 c0'�+"" Sailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other <br /> Odder <br /> P"M Depth a <br /> LACICA' <br /> WELL INTEGRITY <br /> REMARKS <br /> i <br /> Page of lO <br /> SIGNATURE_ <br />