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JGC..v.�C[ 1/uc:�ruutwcuc .i�cc.. <br /> p WATER SAMPLE FIELD DATA SHEET <br /> PROJECT/1: 0?,?. 1/I y W).0l2- PURGED BY: M/L WELL I.D_: <br /> CLIENT NAME: Q-60 �4 g3 SAMPLED BY: IL SAMPLE I.D.:_�W I <br /> TION: -2-0Al C `J QA SAMPLES: <br /> DATE PURGED START(2400hr) END (240010 <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 /> Casing Volume: (gallons per foot) (0.17) (0.38) (0.67) (1.02) (1.50) (2-60) ( ) <br /> DEPTH TO BOTTOM(feet) = CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(felt) = ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP_ CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) <br /> if <br /> t <br /> SAMPLE INFORMATION <br /> SAMPLE DEP'T'H TO WATER: SAMPLE TURBIDITY. <br /> 80% RECHARGE: YES NO ANALYSES. <br /> ODOR: SAMPLE VESSEL/PRESERVATIVE: 0 L <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Hailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal pump Bailer(PVC) Submersible Pump Centrifugal Pump Bailer( _ — <br /> PVC or disposable) <br /> Submersible Pump 2�p M Bailer(Stainless Steel) Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated <br /> Peristaltic Pump Dedicated <br /> Other: Other: <br /> Pump Depth: <br /> ELINTEGRITY: �pQ43 d/� / p I'I I lL--- LOCKfI: S ND <br /> WL <br /> REMARKS: <br /> Page� of <br /> SIGNATURE: <br />