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JL' [..VLA Lllf.c.r rcu.acv+aa�� �• --. <br /> 6 WATER SAMPLE FIELDDATADATA SliEET CIO <br /> 'RO18:7re 027, �Ig3o' Sa PURGED BY 6T wELI.I D <br /> mzENT NAME /CIRCO 2133 SAMPLED BY SAMPLE I D '" <br /> O Cp�, QA SAMPLES <br /> ,OCATION <br /> START(2400hr) END (2400hr) <br /> SATE PURGEDIt— <br /> g66 <br /> 3ATE SAMPLED Z Og SAMPLE TIME(24001%0 <br /> ;AMPLE TYPO Groundwater <br /> Surface Water Treatment Effluent Other <br /> ,:ASING DIAMETER 0 38) (0 G7) (l 02} (I 50) (2 60) < ) <br /> Casing Volume (gallons per (oot) (0 17) ( <br /> DEPTH TO BOTTOM (fee() _ <br /> 2 +O CASING VOLUME(gal) = <br /> DF:I'TT{TO WATER(fccQ = + CALCULATED PURGE(gal) _ <br /> 610, ACTUAL PURGE(gai) _ /V <br /> WATER COLUMN HEIGHT(feet) <br /> FIELD MEASUREMENTS <br /> VOLUME TEMP CONDUCTTU <br /> V[TY pH COLOR TRBIDITY <br /> DATE (2ME) (gal) (degrees F) (umhos1cm) (units) (visual) C(NT tJ) <br /> { 3 D 0 SAMPLE INFORMATION SAMPLE TURBIDITY. <br /> SAMPLE DFP'TH=TO WATER: <br /> 80% FECHARGE. YES,NO - - - — -- -- - — ANALYSES- / - - -- <br /> ODOR: SAMPLE VESSEL 1 PRESERVATIVE- 3 <br /> f <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Batley{teflon) Bladder Pump Bailer(Teflon) <br /> Bladder Pump 13ader _PVC or dtsposablc) <br /> Centrifugal Pump l� wader(PVC) Submersible <br /> Pump <br /> G Submernble Purn Badu(Statnlcss Steel) <br /> Submersible Pump Bailer(Stainless Steel) p Dedicated <br /> Dedicated Peristaltic Pump <br /> Pertstaltic Pump - <br /> Other <br /> Odwr: <br /> Pump Depth <br /> LOCK# <br /> WELL INTEGRITY ��� <br /> REMARKS igC) 70 �'— I8 <br /> �n <br /> P:se� of Z-0SIGNATURE. <br />