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1 <br /> SMITH <br /> SITE <br /> LLISAI�IPLE DESIGNATION Lam- DATE <br /> ' SAMPLE SOURCE A PROJECT# <br /> AMBEENTCONDMONS J V C',.1 Uz-V G✓1 L n k. ' SAI„fP ER J, <br /> ' GRAB SAMPLE INFORMATION (uee notes section for rnetcr reading,flow rate,vol. purged etc.) <br /> GRAB SAMPLE f CONITNUOUS PUMPER/ YES NO pH meter, / PLOW RAT <br /> METHOD / PUMP CYCLING YES NO METER READING <br /> WATER LEVEL INFORMATION MEASURING POINT INSTRUMENT USED <br /> ' W L BEFORE PURGE �1 �i2 TIME W L AFTER PURGE l' TIME --- <br /> L FOR 80%RECOVERY W L TIME OF SAMPLE DATE r' TIME <br /> MONITORING WELL PURGE <br /> � INFORMATION _ MONITORING WELL PURGE METHOD <br /> URGE DEVICE I D P J C�/ bl.AF . <br /> WELL DEPTH' DIAMETER 2- #CASING VOLUMES(PROTOCOL)__l_ <br /> SCREENED INTERVAL PUMP SETIING <br /> URGE VOLUME CALCULATION 22 t¢ � = >, <br /> PURGE BEGINS [4-4.1 ACTUAL AMOUNT PURGED__!a _C2 pH INSTRUMENT-=- <br /> TEMP COND Pig PURGE WATER APP CFJODOR TURBIDrn <br /> q6; r <br /> 7. 4 9 r- <br /> ' WATER SAMPLING INFORMATION MONITORING WELL SAMPLE METHOD <br /> ') cs P.:-s 69 - � r-� APPROXIMATE DEPTH OF GRAB <br /> SAMPLING DEVICE ID �a Ly&.' SAMPLING TIME__ 5, 'J DATE. <br /> ' BOTTLE TYPE NO VOLUME ANALYSIS LAB PRESERVATION-- FILTRATION <br /> 1-t et- it -R H cr 6v-dx 6Q H w <br /> 3 ''ITB S \t. <br /> ' DECONTAMINATION INFORMATION <br /> URGE DEVICE II) 4JPJ -- >` ALA rLSE REEL 1 SAMPLING DEVICE ID`S�#�a •r` HOSE REEL <br /> M <br /> PREVIOUSLY USED IN WELL t-J,u0 PREVIOUSLY USED IN WELL` - <br /> SII'E �] V r Sro Zi SITE <br /> ECON METHODISTFAM TIME t' t,.) L�G O,RECON METHODISTFAMTRJE— <br /> IZINSEATE SAMPLE YES�NO I D RINSEATE SAMPLE YES NO ID <br /> f <br /> QA/QC INFORMATION <br /> ' IN SAMPLE SHIPMENT TRAVEL BLANK YES Y NO ID QA/QC SPIKE YES ><- NO ID <br /> { DUPLICATE YES X NO ID FIELD BLANK YES '?', NO ID INTER-LAB SPLIT YES Y NO ID <br /> OTTS <br /> }14�MP1 INr"+inrovctcic. i^si nir c� a�i n.- vr -� <br />