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WATER SAMPLE FIELD DATA SHEET <br /> ROJaPit t0�, j1g30, PURGED BY WELL D. <br /> NAME AKCO 213'3 SAMPLED BY SAMPLE I D <br /> .TION C3 Q <br /> +� A SAMPLES <br /> C.� <br /> )AYE PURGED �`�/)jy START(2400itir) END (24001ir) �d5 <br /> )ATE SAMPLED SAMPLE TIME(24001tr) <br /> 'AMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> ;ASING DIAMETER 2- <br /> 3- 4' 5' 6' 8' Other <br /> :astng Volume (gallons per foots (0 17) (0 38) (0 67) (1 02) (l 50) (2 60) ( ) <br /> JEP STI TO BOTTOM ((ett) = �j CASING VOLUME(gal) = , <br /> DEPTH TO WATER(feet) = ,�! CALCULATED PURGE(gal) _ � .a <br /> WATER COLUMN HEIGHT(feet) ACTUAL PURGE(gal) r <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2� � (gal)U Z. 5(degrees F) (ttmfyos�m) (units) (visual) (NM <br /> - <br /> IA 0 19, q I ,GDS <br /> .�Z O <br /> SAMPF E INFORMATCON <br /> SAMPLE DEPTH TO WATER. SAMPLF_TURBIDITY:, <br /> 807E RFC HARE& rYES NO ANALYSFS. <br /> ODOR: _ �D� SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT" <br /> Bladder Pump Ratter(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal pump Bailer(PVC) Centrifugal Pump Bailer( YPVC or Kdtsposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Penstaluc Pump Dedicated Peristaltic Pump Dedicated <br /> Oilier Otber <br /> s <br /> Pump Dcptb <br /> WELL INTEGRI'T'Y <br /> REMARKS <br /> SIGNATURE. r Page of �� <br />