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SMITH ENVIRONMENTAL TECHNOLOGIES WATER SAN I'LlING LOG -3 <br /> Q+1�_0 20 <br /> N�ELLISAMPLE DESIGNATION SITE_DATE ? S <br /> SAMPLE SOURCE R''✓v -`��r PROJECT# 4 �,�GI y Ol4- f O <br /> AMBIENT CONDITIONS 0 1 SAMPLED BY .--P-�F {Z-{5 <br /> GRAB SAMPLE INFOR IATION (use notes section``for meter reidin�, flow rate, vol purged etc) <br /> GRAB SAMPLE METRO / � <br /> CONTINUOUS PUMPER—YES—NO pH INSTRUMENT <br /> PUMP CYCLING/_YES_NO " <br /> 1 1VATER LEVEL INFORMATION MEASURING POINT INSTRUMENT USED <br />' WL BEFORE PURGE 3C" ?TIME W L AFTER PURGE TIME <br /> W L FOR 80%RECOVERY W L TIME OF SAMPLE 3(c DATE -CG ZZ nmE • 3C0 <br /> MONITORING WELL PURGE INFORMATION MONITORING WELL PURGE METHOD <br /> PURGEDEVICEID ?U2, -\sF+Uz- <br /> WELL DEPTH S` '2-k DIAMETER �� #CASING VOLUMES (PROTOCOL) <br />' SCREENED INTERVAL — _ PUMP SETTING "' <br /> PURGE VOLUME CALCULATION 5g+ A I 3o . Tg = 21+4 3 /X , 17 - -3, 4 x �j - /0, 1�, <br /> TIM PURGE BEGINSS' D ) ACTUAL AMOUNT PURGED 0 �C3 pH INSTRUMENT <br />' TIME TEMP COND pH PURGE WATER APPEARANCE/ODOR TURBIDITY <br /> o 3 `7, 3 �� <br /> NATER SAMPLING INFORMATION MONITORING WELL SAMPLE METHOD <br /> APPROXIMATE DE TH OF GRAB <br /> SAMPLING DEVICE ID--- a tt�•-r _ SAMPLING TIME DATE 2. c(S <br /> BOTTLE TYPE NO VOLUME ANALYSIS LAB PRESERVATION FILTRATION <br /> VOA '5 `3 L40 Mit. T?1 T S UiaA CT: ------- <br /> M F3ek �ite� D'teSeL SeQv ; �R N /a <br /> DECONTAMINATION INFORMATION <br /> Pv` TI/tpor• Si4. <br /> PURGE DEVICE ID-,1.. . HOSE REEL SAMPLING DEVICE ID HOSE REEL <br />' PREVIOUSLY USED IN WELL_ &jk,, - Z PREVIOUSLY USED IN WELL r <br /> SITE SITE <br /> DECON METHOD/STEAM TIME LSI. reswr , DECON METHOD/STEAM TIME <br /> RINSEATE SAMPLE YES t/�IO I D RINSEATE SAMPLE YES rN0 ID <br /> QA/QC INFORMATION <br />' INSAMPLESHIPMENT TRAVEL BLANK YES NO ID QA/QC SPIKE YES KNO ID <br /> DUPLICATE�YES NO ID FIELD BLANK—YES-9-rNO ID INTER-LAB SPLIT YES xN0 ID <br /> OTES <br />' C 1SAMPLINGISAMPLOG XLS <br />