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01 WATER SAMPLE FIELD DATA SHEET <br /> PROTECT 7�j l![r�–CMZ PURGED BY f WELL I D �+ <br /> CLaNT NAMr- 0413; SAMPLED BY G- S SAMPLE I D <br /> LOCATION QA SAMPLES <br /> DATE PURGED tLG ��7� STAR1 (z400hr) /� Z ¢ END (2400hr) <br /> DATE SAMPLED —2��l SAMPLE TIME.(2400hr) <br /> SAMPLE TYPE Groundwater X Surface Wacer Treatment Effluent Otlrer <br /> CASING DIAMETER 2" 3' 4" 5'— 6- 8' Other <br /> Casrrtg Volume (gallons per foot) (0 17) (0 38) (0,67) (1 02) (1 50) (2 60) ( } <br /> DEPTH TO BOTTOM(foot) _ /9.3 CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = 76 CALCULATED PURGE(gal) _ <br /> WATER COL U'MN HEIGHT(feet) = ACT-UAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP- CONDUCTIVEEY pH COLOR TURBmITY <br /> (2400hr) (gal) (degrees F) (umhos/cin) (units) (visual) (lei IU) <br /> rSSB <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER 7� SAMPLE TURBIDITY <br /> 80% RECHARGE _YES NO ANALYSESP/ / <br /> ODOR bG SAMPLE VESSEL I PRESERVATIVE 3 x (t/0 7a <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Badu(Teflon) Bladder Pump Bailer(Teflon) <br /> Cenfugal Pump Hailer(PVC) Centrifugal Pump Bailer( _PVC or <br /> riXdisposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Slarnless Steel) <br /> Penstaltrc Pump Dedicated Peristaltic Pump Dedicated_ <br /> Ocher Other <br /> Pump Depth <br /> WELL INTEGRITY LJ <br /> REMARKSpagc 1 L <br /> S IGNATCIEIF- (n r c 1 7e o f <br />