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JL'C.(JtC Lnt(:rrtt.u.tvrcuc <«�. <br /> o WATER SAMPLE FIELD DATA SHEET <br /> R� <br /> 1q 30, BY <br /> �� PURGED . WELL I D <br /> •tta�cr a �77� r <br /> 1,IEM'NAME: �Co 13 3 SAMPLED BY SAMPLE I D <br /> p C14, QA SAMPLES <br /> -OCATION 4 <br /> START(240010 _ z-5 END (2400hr) <br /> )ATE PURGED —�f-�-}--- <br /> ]ATE SAMPLED 2 4D SAMPLE TIME(2400hr) l 2�' <br /> ;AMPLE TYPE <br /> Groundwaccr Surface Water Treatment Effluent Other <br /> 2" 3"� 4. 5- G- 8' Otlticr <br /> ;-ASWG DIAMETER (1 02} (l 50) (2 60) ( ) <br /> :,sing Volume (gallons per foot) (0 l7) (0 38) (0 G7) q <br /> CASING VOLUME(gal) <br /> DEPTH TO BOTTOM (feet) _ ' <br /> CALCULATED PURGE(sal) <br /> DEPTH TO WATER(feet) _ ` <br /> ACTUAL PURGE(gal) _ <br /> WATER COLUMN HEIGHT(fee() <br /> FIELD MEASUREMENTS <br /> VOLUME TEMP. CONDUGTIVTTY pH COLOR TURBmrrY <br /> DATE TIME (umhos/cm) (units) (visual) QTM <br /> (2400hr) (gal) (degrees <br /> SAMPLE INFORMATION SAMPLE TURBIDITY- <br /> TSAMPLE DEPTH TO WATER_6� <br /> rx ,T - — --- - _ - ANALYSES- -- <br /> 80%REC HARGF- YES�NO <br /> ODOR L!LtJ SAMPLE VESSEL 1 PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMEN <br /> Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Bladder Pump Centrifugal Pump Bailer( _PVC or disposable) <br /> Centrifugal Pump Bader(PVC) -- Bailer(Stainless Steel) <br /> Bailer(Stainless Steel) Submersible P Purnp <br /> Submersible Pump Peristaltic Pump Dedicated <br /> Penstaluc Pump Dedicated <br /> Other <br /> Other. <br /> Pump Depth <br /> LOCKN <br /> VIEL L INTEGRITY <br /> REMARKS c <br /> L <br /> Page r o f <br /> SIGNATURE. <br />