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ilL:.VIL/It ,[raaV. ...�ro......� - -- <br /> WATER SAMPLE FIELD DATA SHEET { <br /> PURGED BY V`' WELL L D <br /> bRaT=a C77, j1g54n- Sa r <br /> z,TI:'NT NAME f�I�C� ��33 SAMPLED BY SAMPLE I D <br /> p CON, QA SAMPLES ~ <br /> AC'J1110N � ' <br /> D� START(240010 END 7 END (2400hr) <br /> SATE PURGED Z?l <br /> JA'CE SAMPLED �f�D� SAMPLE TIME(2400hr) �20 - <br /> ;AMPLE TYPE <br /> Groundwater Surface Water Treatment Effluent Other <br /> 3' �f 4. 5- (- 8' Other DIAMETER 2" L 1 02) (1 50) {2 fi0) ( ) <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 G7) <br /> CASING VOLUME(gal) _ <br /> DEPTH TO BOTTOM (feet) _ <br /> DEPTH TO WATER(feet) = �� Z CALCULATED PURGE (gal) <br /> WATER COLUMN HEIGHT(feet) <br /> t�V ACTUAL.PURGE(gal) <br /> FIELD MEASUREMENTS <br /> VOLUME TEMP CONDUCTIVITY PH COLOR TURBIDITY <br /> DATE TIME do F) (uinhos/cm) (units) (visual) Ct1TU} <br /> (240phr} (gal) (degrees o 1 �T <br /> 2°p <br /> SAMPLE INl~ORMAT ION SAMPLE TURBIDITY. <br /> SAMPLE DEPTH TO MAT EJR _ <br /> -= - - - — --- - - --- - — j�ALYSE.S. - - - _ - - - -- - - <br /> so% RECHARGE: YES NO <br /> 75 <br /> ODOR: WOWf+ SAMPLE VESSEL/ PRESERVATIVE: <br /> PURGING EQUIPMENT SAMPT.ING EQUIPMENT <br /> Bailer(Teflon) Bladder Pump Bailer(Teflon) disposable) <br /> Bladder Pump flBailer _PVC or <br /> Centntugai Pump Basler(PVC) Centrifugal Pump -� ( <br /> Submersible Pump <br /> Submersible Purn el)� <br /> Bailer(Stainless Steel) p Bailer(Stainless StcDedicated <br /> Peristaltic Pump Dedicated Peristaltic Pump <br /> Other <br /> Other. <br /> Pump Depth <br /> WELL INTEGRITY D /►t7c.p >wu �A6--'5 LOCKII <br /> REMARKS <br /> Page of Z. <br /> SIGNA'T'URE <br />