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URS <br /> FIELD RECORD OF WATER SAMPLING <br /> Well No Job Number <br /> Depth of Well Feet Client <br /> Casing type/Diameter C Inches Location �GK � <br /> Borehole Diameter Inches Sampled by <br /> Temp °F or °C <br /> PURGING PRIOR TO SAMPLING <br /> Purging Method Pump Flow Rate <br /> Initial Water Level One CasinglBorehole Volume (Gallons) <br /> Start Time Purge Volume (3CVs) <br /> Date Time Tem Spec PH TurbidityGallons Comments <br /> Temp Cond Removed (appearance of water, odor, etc ) <br /> Purge water stored/disposed of where/how <br /> RECORD OF SAMPLING <br /> Sampling Method <br /> Date of Sample I r 66 Time Depth of water at time of sample <br /> Sample No. Container Types Analysis Temp °C <br /> �� Lcez Ra(�l� <br /> qc)m( -� DA Q7 GO Spec Cond us/cm <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 IGWforms\URSH2Osmp1e doc <br />