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JE(,c)K intenumonat ,tnc_ <br /> WATER SAMPLE FIELD DATA SHEET <br /> a ,3, r <br /> PROTECT# 7 <br /> WELL D / <br /> G�OO-�D.3 ��� PURGED BY <br /> CLIENT NAME f � SAMPLED BY /yI Gh4 SAMPLE I D <br /> r LOCATION S' G,�C QA SAMPLES <br /> DATE PURGED START(2400hr) � END (24001ir) <br /> DATE SAMPLED /Z77 SAMPLE TIME(24001h) <br /> SAMPLETYPE Groundwater <br /> Surface Water Treatment Effluent Otter <br /> CASING DIAMETER 2' 3- 4- 5"� 6' 8' _ Other <br /> Casing Volume {gallons per food (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) _ 'zip CASING VOLUME(gal) _ <br /> DEPTH TO WATER(feet) _ <br /> 7w CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(931) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVTI`Y phi COLOR TURBIDITY <br /> (2400hr) (ga7l��) (degrees Cie_ (units) �s� (���� <br /> �ZSAMPLE INFORMATI,N <br /> SAMPLE DEPTH TO WATER � SAMPLE TURBIDITY. <br /> 80% RECHARGE YES—NO ANALYSES <br /> ODOR <br /> SAMPLE VESSEL I PRESERVATIVE ✓ 6 v' <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bader(Teflon) Bladder Pump Batter(Teflon) <br /> Bladder Pump _ _ <br /> Centnfugal Pump Bailer(PVC) Centrifugal Pump Bailer( PVC or disposable) <br /> Submersible Pump Bader(Stainless Steel) Submersible Pump Bader(Statnle55 Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other <br /> Other <br /> Pump Depth <br /> LOCI:x <br /> WELL INTEGRITY _ <br /> REMARKS <br /> s <br /> Page of <br /> SIGNATURE <br />