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6P,Gu.K inrenumonat ircc,. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT Jt 7G�DO3 `0/ PURGED BY �� WELL I D <br /> CLdENT NAME J�d 24`'33 SAMPLED BYG� SAMPLE I D <br /> LOCATION Ot6 S' G G'�C QA SAMPLES <br /> DATE PURGED ^~ START(2400hr) END (2400hr) <br /> DATE SAMPLED SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2' 3" 4' 5' 6' 8 Other <br /> Castng Volume (gallons per foot) (0 I7) (0 38) (0 G7) (I 02) (I 50) (2 60) ( } <br /> DEPTH TO BOTTOM(fee() = SING VOLUME(gal) = <br /> DEPTH TO WATER( )feet = C //-z)s CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F; (umhos/cm) (units) (visual) (NTU) <br /> SAMPLE INFORMATIQN <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGE YES�NO ANALYSES <br /> � (� SAMPLE VESSEL./ PRESERVATIVE <br /> ODOR <br /> — r <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bader(PVC) Centrifugal Pump Bailer( _PVC or disposable) <br /> ( <br /> Submersible Pump Bailer Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Dedicated <br /> Peristaltic Pump Dedicated Peristaltic Pump <br /> Odic( Odier <br /> Pump Depth <br /> WELL INTEGRITY /� _ LOCI <br /> W <br /> REMARKS <br /> Page � of <br /> SIGNATURE <br />