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S11COh hae"zovolial Inc <br />WATER SAMPLE FIELD DATA SHEET <br />R p �� 77 `l�`fY�i1.5Zi i PURGED BY WELL ! D,f� "725-- <br />NAME <br />SAMPLED BY 9!'] SAMPLE I D >4✓ 7a <br />QA SAMPI 15-- <br />nr'A'nON JL, i) be <br />)ATF-PURGED "� :�3 4'l <br />S1 ART (24001,} 1 4L, END (94=10_� 3 +f- <br />)ATE SAMPLED �, v2'S 4 I SAMPLE TIME: (2400hr) <br />7 icalniciit Eucnc Othri <br />Surface Water fll— — <br />>AMPLT!✓TYPL Groundka(ci _, -�-- <br />3— <br />^ASING DIAMCFER 2- 7 fi0 <br />"king VOhlme Gallons per foot) <br />!0 l2) (0 38) (0 C7) (l 02) (1 50) ( ) <br />DEI'1`Ii TO B01 -170M {fee() _ __7 c/ xz— <br />DrJTT1{ TO WATER (feet) - <br />WATER COLUMN HEIG111 (fee() <br />FIELD MEASUREMENTS <br />CASING VOLUME (Fal) <br />CALCUTA"I ED I'UIZGI {l 11) <br />ACI UAL PURGE (gal) <br />Otho: <br />( <br />142 <br />TEMP CONDUCFiVR)' pli COLOR TURBIDFn <br />DATE VOLUME NTU ) <br />(24001ir) (gal) (degrees > } (umbos/cm) (units) (visual) <br />.rte y^J 2� �A> <br />L5) �15 -LD - <br />SAMPLE INFORMATION <br />SAMPLE TURBIDITY —LE— <br />SAMPLE DEPTH TO WATER.- <br />30% <br />ATER <br />30% RECHARGE_ x YES —NO ANALYSES <br />ODOR. <br />SAMPIF VESSEL I PRESERVATIVE <br />PURGING EQUIPMENT SAMPLING EQUIPMENT <br />Bladder Pump Bader (Teflon) <br />Bailer (Teflon) Bailer _PVC or disposable) <br />Bladder Pump <br />Ccritnfugal Pump Bader (PVC) Centrifugal Pump ( <br />Bader (Stainless Steel) Submersible Pump Bader (Stainless S(Cel)� <br />^Submcisble Pump Peristaltic PUMP x Dedicated <br />Penstaltic Pump Dedicated <br />Other <br />Odter <br />pump Depth <br />WELL INTEGRITY <br />LOCK# ee — <br />Page of <br />SIGNATURE <br />