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JLC.VL[ Lfztc:rrcuitvrcu� �,�.._ <br /> WATER SAMPLE FIELD DATA SHEET <br /> �of�cr x 077' yrq 3a+ 5e) PURGED DY _ UPI WELL I D r <br /> NAME ARQ0 �l3' SAMPLED BY SAMPLE I D <br /> ONQ <br /> © A SAMPLES <br /> SATE PURGED ;� START(24OD1tr) lr? END (24001►r) r _ <br /> :)ATE SAMPLED Z 00 SAMPLE TIME(24001tr) 1 865 <br /> ;AMPLE TYPE Groundwater Surface \Vater Treatrttcnt Effluent Other <br /> ZASING DIAMETER 2' 3` 4' 5' 6` 8' Odlcr <br /> C3stng Volume (gallons per foot) (0 17) (0 38) (0 G7) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (fee() _ '2-d3 ,-0 CASING VOLUME(gal) <br /> DEPTH TO WATER(feet) = t+ 8 CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) c �- ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DACE TIME VOLUME TEMP CONDUCT[VTTY pH COLOR TURHID[TY <br /> ('2400hr) (gal) (degrees F) (utnhoslcm) (units) (visual) (Nn <br /> TLS l.5, - � -�� <br /> ,r <br /> 17 o � t <br />! SAMPLE INFORMATION <br /> SAMPLE DFJgH TO WATER_ SAMPLE TURBID=. <br /> 847E RECHARGE: YES NO ANALYSES. Idy,'r� <br /> 0DOFU oU SAMPLE VESSEL I PRESERVATIVE '` I r `-L- <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bader(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or 4-dtsposablc) <br /> Submmtbfe Pump Bailer(Stainless Stcel) Submerstble Pump Bailer(Statnless Steel) <br /> Penstalttc Pump Dedicated Peristaltic Pump Dedtcatod <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY �� � _ LOCK# <br /> R.E MARKS z h OD IV 46 <br /> SIGNATURE, Page 6 of <br />