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&3k!A1Vn [fc6C;..slaltvr4ssi <br /> • WATER SAMPLE FIELD DATA SHEET <br /> -R01EiCT# 077. PURGED I3Y RkflWELL I D <br /> NAME /4R�p 13 3 SAMPLED BY SAMPLE I D <br /> QA SAMPLES <br /> DATE PURGED �j Qb START(24001ir) �--fid- END (24001ir) �_ <br /> DATE SAMPLED Ql'] SAMPLE TIME(24Wlir)_ 103 — <br /> _ �^ <br /> SAMPLE TYPE Groundwa(er _ Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2' 3' 4 5- 6' 8' 011ier <br /> Cuing Volume (gallons per toot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 ,60) ( ) <br /> DEPTH TO DOTTOM (feet) = 10 CASING VOLUME (gal) r <br /> DEF'IN TO WATER(feet) = D CALCULATED PURGE(gal) _ Ij r g <br /> WATER COLUMN HEIGHT(feet) ACTUAL PURGE(sal) = d <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (dcgr= F) (urnhos/cin) (units) (visual) (NTU) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER: SAMPLE TULxI3IDITY. _ /040 <br /> 80% RECHARGE:_YES NO ANALYSES: Ztr <br /> �,�Q HCL/� <br /> ODOR: . -06 D T7 SAMPLE VESSEL/PRESERVATL 3 �"' * I l L <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Ccntrifugal Pump Bailer( _PVC or Xdisposablc) <br /> Submersible Pump Saler(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Pensultic Pump Dedicated Peristaltic Pump Dedicated <br /> Odler- Other <br /> Pump Depth <br /> WELL IN'T'EGRITY �yb61� LOCK& <br /> REMARKS <br /> SIGNATURE. r pRs? of , <br />