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g <br /> FURS <br /> FIELD RECORD OF WATER SAMPLING <br /> Well No Job Number y 1 - 15s 2L4 o 19, oo_ 0-7ooa <br /> Depth of Well --7g , Feet Client <br /> Casing type/Diameter 4- 0c) Inches Location F P <br /> Borehole Diameter 10-00 Inches Sampled by mer l� 1 rourre�� <br /> Temp °F or °C <br /> PURGING PRIOR TO SAMPLING <br /> Purging Method �,� �, Pump Flow Rate <br /> Initial Water Level One Casing/Borehole Volume (Gallons) W p <br /> • <br /> Start Time %\ o Purge Volume (3CVs) -79 o <br /> Date Time Temp Spee PH Turbidity Gallons Comments <br /> Cond Removed (appearance of water, odor, etc } <br /> 9b9 -7• al Njl} d <br /> C,\ecxr tto o Cl o C- <br /> 9 <br /> 4 l -7LCp 0 1 t �. <br /> 115; p S y `7• , + <br /> F -15 <br /> i � <br /> Purge water stored/disposed of where/how <br /> RECORD OF SAMPLING <br /> Sampling Method ,s _ 1ocz, ter <br /> Date of Sample :�--I_a I Time 20o Depth of water at time of sample <br /> Sample No. Container Types Analysis Temp. °C <br /> Spec Cond Psi= <br /> pH <br /> Comments <br /> Casing Capacities (T D -W L)*Dz*0 0408 <br /> 2-Inch hole 0 16 gal/lin ft 3CVol = 0 5 X W D <br /> 4-inch hole 0 65 gal/lin ft 3Cvol = 0 84 X W D <br /> J kGWforms\URSH2Osmp1e doc <br />