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JG(,Vjt irGLL rrcLLLI(lrcuc cert,. <br /> WATER SAMPLE FIELD DAT SHEET <br /> G� WELL I D l/" <br /> PROJECT# 7G4 a&47 3 ~�/ PURGED BY <br /> CLIENT'NAME <br /> Q X3`3 SAMPLED BY /97/ Gff SAMPLE I D <br /> LOCATION 2iii( it S' G QA SAMPLES <br /> DATE PURGED G� START(240010 �� CND (2400110 <br /> DATE SAMPLED /Z77 SAMPLE TIME(24001tr) lZa� <br /> SAMPLE TYPE Groundwater <br /> Surface Water Treatment Effluent Oilier <br /> CASING DIAMETER 2' 3' 4' 5'_ 6- 8_ _ Other <br /> Casing Volume (gallons per foot) (0 I7) (0 38) (0 67) (1.02) (I 50) (2 60) {-7 ) <br /> DEPTH TO BOTTOM(fee() w O CASING VOLUME(8a1) _ -, ! z <br /> DEPTH TO WATER(feet) = - /'"�S �� CALCULATED PURGE(gat) = _7Z._19 <br /> WATER COLUMN HEIG14T(fee[) _ � � ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees (umbos/cm) (units) (visual) (NTU) <br /> �- ice- e, <br /> rz-r7ji g _ 93� _ %( 40 <br /> SAMPLE iNI;ORMATIVN / GLS <br /> SAMPLE DEPTH TO WATER <br /> SAMPLE TUR131DITY GO <br /> LYSES <br /> 80% RECHARGE YES_NO ANA <br /> ODOR <br /> /���G SAMPLE VESSEL/ PRESERVATIVE _ 3 ���"`� y`tZ � — <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump <br /> Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> _PVC or disposable) <br /> Centrifugal Pump �[Batler(PVC) Centrifugal Pump <br /> Basler <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Dedicated Peristaltic Pump Dedicated <br /> Peristaltic Pump <br /> Oilier <br /> Other <br /> Pump Depth <br /> LOC K# <br /> WELL INTEGRITY <br /> REMARKS <br /> Page of <br /> SIGNATURE /� <br />