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WATER SAMPLE FIELD DATA SHEET <br /> Roirvara 0�• V9 3,0, a PURGED BY iii WELL[ D <br /> Nxf NAME �Co z 13 3 SAMPLED BY �'1 SAMPLE I D <br /> ON 0 C�}. QA SAMPLES <br /> )ATE PURGED 6d START(2400hr) [ 3CND (240o1ir) �� <br /> )ATE SAMPLED t"X7 SAMPLE TIME(240010 <br /> :AMPLE TYPE Groundwater Surface Water Treatnient Effluent Otter <br /> ZASING D1AME"lTER 2" 3' 4" 5- 6" S' Otitr <br /> Wising Volume (gallons per (oot) (,017) (0 38) (0 67) (1 02) (f 50) (2 60) ( ) <br /> DFPTH TO 130TTOM (feet) _ 2�jCASING VOLUME(gal) _ _P5_1 S <br /> DEPTH TO WATER(tett) 4, b CAUCULATED PURGE(gal) = , <br /> WATER COLUMN HEIGHT(feet) _ 0-7 � ACTUAL PURGE(gal) _ 10 K <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURB(D[TY <br /> (2400fir) (gal) (degrees E) (umbos/cm) (un1 6 .its) (visual) <br /> r ,cam <br /> SAMPLE INFORMATION � <br /> SAMPLE DEPTH TO WATER_ SAMPLE TURBIDITY- <br /> 80% RFXIEARGE: YES NO ANALYSES-.— <br /> / ('I <br /> OUOR: NOIJ F SAMPLE VESSEL/PRF�,SERVATTVE t f f `-L <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Batter(Teflon) Bladder Pump Satter(Teflon:) <br /> Centnfwgal Pump Bailer(PVC) Centrifugal Pump �Batler( _PVC or �sposablG) <br /> Submersible Pump Batter(Stamless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pumps Dedicated Peristaltic Pump Dedicated <br /> Ocher. Odder <br /> Pump Depth <br /> WELL,INTEGRITY UOD LOC[Ul u <br /> REMARKS ILO t S 2M <br /> i <br /> SIGNATURE - Page—BQ of <br />