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UIRS <br /> FIELD RECORD OF WATER SAMPLING <br /> Well No «ALJ -- _ Job Number N —a 1X7-0 <br /> Depth of Well L,_c> Feet Client <br /> Casing type/Diameter Inches Location fg N <br /> Borehole Diameter Inches Sampled by <br /> Temp OF or OC <br /> PURGING PRIOR TO SAMPLING <br /> Purging Method Z �j t4 S A Pump Flow Rate ( �� <br /> Initial Water Level `7 One Casing/Borehole Volume (Gallons) <br /> Start Time I q-z 4 _ _ _ Purge Volume (3CVs) _ I (�—? <br /> Date Time Tem Spec PH TurbidityGallons Comments <br /> Temp Cond Removed (appearance of water, odor,etc) <br /> Z l- 6 �`i <br /> 1K�1 16 <br /> rc:) <br /> Purge water stored/disposed of where/how <br /> RECORD OF SAMPLING <br /> Sampling Method cS[�dSp� <br /> Date of Sample jj Time 1-f 4D Depth of water at time of sample <br /> Sample No. Container Types Analysis Temp °C <br /> -- <br /> ILA RT-6 a _ Spec Cond sh;m <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 1GWforms\URSH2Osmp1e doc <br />