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LILVVJ.\ LI LL I+ INA-rVV �U'' " ' <br /> ,i WATER SAMPLE FIELD DATA SHEET <br /> PROJECT#f �j'�Z PURGCD BY WELL I D <br /> CLIENT NAME CO u3� SAMPLED BY �- 5 SAMPLE T D <br /> LOCATION QA SAMPLES <br /> DATE:PURGED / LC 1G START(24-0Ohr) END (2400hr)1,V/0, <br /> 2400hr) <br /> DATE SAMPLED —24/-f g SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAMETER- 2' 3- 4- S'— 6' — 8' Other <br /> Casing Volume (gallons per foot) (0 l7) (0 38) (0 6) (I 02) (I 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(fes) = 7/ q CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = ?06 CALCULATED PURGE(gal) — <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURB DITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (Ni'U) <br /> 773 1338 2L /t/°,�// Lary✓ <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER_. SAMPLE T[TRF3IDRTI' "`_^ <br /> 80% RECHARGE —YES—NO ANALYSES <br /> ODOR SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Barter(Staudess Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Otlter <br /> PumP Depth <br /> WELL INTEGRITY <br /> REMARKS ,� 7 <br /> SIGNA-TFURE- rPage of <br />