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' SMITH ENVIRONMENTAL TECHNOLOGIES WATER SAMPLING LOG <br /> WELL�SM4PLE DESIGNATION �AV3 S Ste' i D Z <br /> DATE -7, � -1,5-1,5A <br /> SAMPLE SOURCE PROJECT# <br /> IENT CONDITIONS Cf 1),)K) SAMPLER <br />' ' GRAB SAMPLE INFORMATION (use notes section for meter reading, flow rate,vol.purged etc.) <br /> GRAB SAMPLE CONTINUOUS PUMPS YES NO pH meter: SOW RAS; <br /> METHOD: PUMP CYCLING_ _NO� METER REA'ING <br /> WATER LEVEL INFORMATION MEASURING POINT INSTRUMENT USED <br /> ' W.L.BEFORE PURGE 12- Z4 TIME W.L.AFTER PURGE -- TIMEW. v <br /> L. FOR 80%RECOVERY W.L.TIME OF SAMPLE DATE TIME <br /> ' MONITORING WELL PURGE INFORMATION MONITORING WELL PURGE METHOD <br /> PURGE DEVICE I.0�J <br /> WELL DEPTH `I DIAMETER z- *CASING VOLUMES(PROTOCOL) <br /> SCREENED INTERVAL PUMP SETTING -- <br /> PURGE VOLUME CALCULATION ' -2>'l - k 7-, 2-46r ::. C9,TIM <br /> E PURGE BEGINS '- ACTUAL AMOUNT PURGED pH INSTRUMENT <br /> ' TIME TEMP <br /> GOND. H PURGE WATER 1APPEARANCE/ODOR TURBIDITY <br /> ' 6'-,'6'-,'6'-,' !( �ku'� h �G Cwt3f <br /> NosLIA �a <br /> z) <br /> MEJ�'ATER SAMPLING INFORMATION MONITORING WELL SAMPLE METHOD <br /> •S S P. APPROXIMATE DEPTH OF GRAB <br /> AMPLING DEVICE ID_ `� �T- _SAMPLING TIME' DATE t 1-i �tS BOTTLE TYPE NO. VOLUME ANALYSIS LAB PRESERVATION FILTRATION <br /> t \)_,5t" S 3 4-- +-k,U TQt' G_ 1-�C.L_� <br /> I <br /> ' DECONTAMINATION INFORMATION <br /> ' PURGE DEVICE ID S' HOSE FEEL SAMPLING DEVICE ID OSE REEL `r <br /> PREVIOUSLY USED IN WELL �_�Xjo PREVIOUSLY USED IN WELL <br /> TIT; ti.� ~ SITE <br /> ' DECON METHOD/STEAM ECON METHOD/STEAM TIME l' <br /> RINSEATE SAMPLE YFS__�L,,NO ID RINSEATE SAMPLE YES +NO ID <br /> QAIQC INFORMATION <br /> IN SAMPLE SHIPMENT: <br /> TRAVEL$LANK YES__,,_�NO ID QA/QC SPIKE YES__X NO ID <br /> DUPLICATE_YES�O ID FIELD BLANK_YES N0 ID INTER-LAB SPLIT YF_S NO ID <br /> OTES <br /> c:lworkfilcksam lin�lsam'lob.xls <br />