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�,Ct,(Jli .[rcccJr rccc�avrur.c ,trr.�. <br /> ` • ` / WATER SAMPLE FIELD DATA SHEET <br /> PROIECT t7Z PURGED BY WELL I D <br /> CLIENT NAME- ff7G('o Zo�3 SAMPLED BY Cl /y' G SAMPLE I D <br /> CATION _ `/' QA SAMPLES <br /> DATE PURGED START (240010 f J END (2400hr) <br /> DATE SAMPLED !p —�s f�' SAMPLE TIME(24Mir) r�6U <br /> SAMPLE TYPE Groundwater Surface Watcr Treatment Effluent Other <br /> CASING DIAMETER 2" 3' 4' 5'� 6" _ 8' Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (150) (2 60) { ) <br /> DEPTH TO BOTTOM(feet) _ �7 CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = _ ��-�I CALCULATED PURGE(gal) = <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP- CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umbos/cm) (units) (visual) (NTU) <br /> - SAMPLE INFORMATION l <br /> SAMPLE DEPTH TO WATER ILA),l� SAMPLE TURBIDITY GG e, � <br /> 80% RECHARGE-_YES NO ANALYSES. / r �'/6K /,j�yt/;;z7/o <br /> ODOR SAMPLE VESSEL I PRESERVATIVE 5` 7� a'd <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Batter(Teflon) Bladder Pump Batter(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Purnp Bader( _PVC or �dEspasable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Banter(Stainless Steel) <br /> PerrstaItic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Deptb <br /> WELL INTEGRITY lczz2o LOCK9 !�G C?-� <br /> REMARKS l- <br /> _9 X, <br /> Page_ Of <br /> SIGNATURE <br />