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URS <br /> FIELD RECORD OF WATER SAMPLING <br /> Well No rrA Q —5;- �Job Number d� <br /> Depth of Well -710 Feet Client f <br /> Casing type/Diameter b[ "_ -Fq Inches Location � P3 <br /> Borehole Diameter Inches Sampled by 015 f 3 <br /> Temp °F or °C <br /> PURGING PRIOR TO SAMPLING <br /> Purging Method �� "J r-Ab'�S Fd M 1f Pump Flow Rate <br /> Initial Water Level lam( D f-( g One Casing/Borehole Volume_(Gallons) , <br /> Start Time Purge Volume (3CVs) 9, <br /> Date Time Tem Spec PH TurbidityGallons Comments <br /> P Cond Removed (appearance of water, odor,etc ) <br /> 21 <br /> „ /5 ! 22 , 3 s qrl <br /> /Ss/6 22, log JC <br /> 1502 27,c,3 1//6 7 02 <br /> Purge water stored/disposed of where/how SA-^1(T4r�y S �rz <br /> RECORD OF SAMPLING <br /> Sampling Method )S r -- <br /> Date of Sample ( 10D Time Depth of water at time of sample <br /> Sample No Container Types Analysis Temp °C <br /> Zx - _ &�b <br /> �on( q 6 4 1? 2(, Spec Cond ps/crn <br /> (toA 9-Y11s7cl <br /> pH � <br /> Comments <br /> Casing Capacities (T D-W L)*D'*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 /> 11GWforms\URSH2Osmple doe <br />