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6t�(,uA Intermuaunuc Iric,. <br /> WATER SAMPLE FIELD DATA SHEET <br /> Oil y� <br /> PROTECT If �G6vv"�D3 _-O/ PURGED BY WELL I D �r <br /> CLIENT NAME 0 24`3`3 SAMPLED BY SAMPLE I D <br /> ,CION Z /.i( S G G,�C QA SAMPLES <br /> DATE PURGED ~� START(240010Z END (2400hr) 3 <br /> DATE SAMPLED /Z77 8 SAMPLE TIME(24001ir) l2 3 <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Odicr <br /> CASING DIAMETER 2' 3' 4- _Z 5-- 6- - 8' _ Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1: 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(fect) = Z� CASING VOLUME(gal) _ <br /> DEP'T'H TO WATER(feet) _ �� `I �S � CALCULATED PURGE(gaq = <br /> WATER COLUMN HEIGHT(feu) = ACTUAL PURGE(gal) = <br /> F=IELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) al) (degrees f) (umhos/em) (units) (visual) (NTU) <br /> t i-(7416 e,2-,? <br /> r7 _f 7_f8 <br /> SAMPLE INEORMAT[r?N <br /> SAMPLE DEPTH TO WATER ��_ SAMPLE TURBIDITY r✓t/ <br /> 80% RECHARGE YES—NO ANALYSES <br /> ODOR A.�,J��� SAMPLE VESSEL/ PRESERVATIVE <br /> r.�-� <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or x disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Dedicated Peristaltic Pump Dcdicated <br /> Peristaltic Pump <br /> Other Other <br /> Pump Depth <br /> LOCK <br /> WELL INTEGRITY <br /> REMARKS <br /> Page of <br /> SIGNATUR <br />