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SECOK 1wernanona1 hic <br />WATER SAMPLE FIELD DATA SHEET <br />PURGED BY <br />dT'NAMr SAMPLED BY <br />_OCATION S <br />)ATEPURGED <br />SATE SAMPLED <br />�...or r• TVPi- G�OUnduatCl X <br />CASING DIAMETER <br />Castng Voiunie (gallons per (oot) <br />WELT.l I) 1%JW -i_ _� <br />SAMPLE 1 D <br />QA SAMPLES <br />S1 AR -1 (2400hr) � END (240011) u <br />SAMPLE TIME (24CO1ir) .4 " 7 <br />Sufface \Vater 1 ieatmuu Fffluens _ Odica <br />2' _K__3 4_ --- 5 — 6- , h" (7 GO) � Odic[ -- <br />( ) <br />(0 1"1) (O 38) (a G2) 0 0a) 1 50) <br />EM -1 TO BOTI OM ((cct) _ <br />PTI1 TO WATER (feet) <br />-i -PR COLUMN HEIGHT (feet) <br />— <br />FIELD <br />MELD h4EASUREMENTS <br />CASING VOLUME (f 31) _19,� <br />CALCUL Al LD PUI:GL (Y i1) <br />ACTUAL PURGE (gal) = <br />,ATI: <br />TIME <br />VOLUME <br />TEMP <br />CONDUCTIVITY <br />pH <br />(unI�) <br />COLOR TURBIDITY <br />visual (NT(l) <br />(visual) <br />PURGING EQUIPMENTSAMPLING <br />(2400hr) <br />(gal) <br />(degrees F) <br />(urnhoslcni) <br />Bladder Pump <br />Centrifugal Pump <br />Bailer (Teflon) <br />Bader _PVC or disposable) <br />27" <br />Y . <br />/,-3 <br />/15 <br />Submersible Pump <br />Puistaluc Pump <br />_� Dedicated <br />N% <br />'7 7 <br />7 <br />Other <br />t SAMPLti IN <br />1 SAMPLE DEPTH TO WATER S S Y] <br />go% RECHARGE- ,f YES ILIO <br />ANALYSES <br />SAMPLE TURBIDITY 60k <br />UDOit.� <br />u <br />SAMPLE VESSEL / PRESERVATIVE <br />EQUIPMENT <br />PURGING EQUIPMENTSAMPLING <br />Bladder Pump <br />Bailer (Teflon} <br />Bladder Pump <br />Centrifugal Pump <br />Bailer (Teflon) <br />Bader _PVC or disposable) <br />Centrifugal Pump <br />Bader (PVC) <br />Bailer (Stainless Steil) <br />Submersible Pump <br />Saticr (Stainless Steel)� <br />Submersible Pump <br />Dedicated <br />Puistaluc Pump <br />_� Dedicated <br />Penstaltic Pump <br />Other <br />Odtcr <br />Pump Deptb <br />LOCK# <br />WELL INTEGRITY - <br />Page of <br />SIGNATURE 2G/�� <br />