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SE COR Jnte"uuzonai inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> 11 4 1I1 1 077. ��9Q'�,Q� PURGED BY yyw WELL I D <br /> AMC M<D q 3 q- SAMPLCO BY Y� SAMPLE I D 2- <br /> =A'IION QA SAMPLES <br /> I E PURGED C>d START(24001ir) _ r-ND (24001ir) 1(o 00 <br /> TE SAMPLED Z SAMPLE TIME(24001ir) <br /> MPLC TYPE Groundwater Surface Water Tre;tcnicnt Effluent Odrer <br /> SENG DL MCTCR 2' 3' 4` 5-- 6' S' O[licr <br /> sing Volumc Gallons Ixr foot) .(00117)) (b 38) (0 67) (1 02) (I 50) (2 GO) ( } <br /> irm TO B4TTom (feet) V. �-3 -7 q CASING VOLUME(Za4) <br /> :PTII TO WATER(feet) = CAL-CULATED PURGE(rat) <br /> A ER COLUMN FICIGI-IT(foci) _ ACTUAL PURGE(gal) = f� <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (dcgrcca F) (urnhaskm) (units) (visual) (NTL) <br /> `�Y, 5' S ZL FA r ,ecu <br /> G <br /> SAMPLE INFORMATION <br /> SAMPLE DF.P`M TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGF-. YES NO ANALYSES J f/ <br /> ODOR: ____ — SAMPLE VESSEL!PRESERVA'RVE � <br /> V r F-zz- <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder pump Barter(Teflon) <br /> 0walfug2I Pump Bailer(PVC) Centrifugal Pump �_Bailer( PVC or disposable) <br /> Submetsible Pump Bailer(Stainless Steel) Submersible Pump Satter(Stainless Steel) <br /> PoinsUltic Primp Dedicated T PerrstaltiC Pump Dedicated <br /> Qther. Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# YES <br /> Rxs b S4 � <br /> SI0KATURE page of <br />