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SEVOR h/tc i national hic <br /> WATER SAMPLE 111-1-D DA"I A Sl Il-l~`l � <br /> IECT J1 Nean Soot-ci4 PURGED BY _ l J Q - WELT. I D <br /> CLIENT NAMr Ti He c)I t-- SAMPLED BY _�J Q _ SAMPLI I D /4 vim ' 3 <br /> LOCATION L���< e�o� d QA SANIPI_LS <br /> DATE PURGED START(2400hr) // 4 Q END (2400hr) Z S <br /> DATE SAMPLED /0 - `( 9S SAMPLE TIME(24001ir) 11 L{o <br /> SAMPLE TYPE Groundwater x 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) = f 6 O CASING VOLUME(gal) = Z Yf <br /> DEPTH TO WATER(feet) = Ss- ]fig CALCULATED PURGE(gal) = 7 2- <br /> WATER <br /> WATER COLUMN HEIGHT(fees) _ y I Z ACTUAL PURGE(gal) = g <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees T') (umhos/cm) (units) (visual) (NTv) <br /> re-y-9s /1, 0y �_ 6Y.1. 4 7-37 <br /> /o_y-Fs 1t )`t S 63,a 7 —7 (- -4- <br /> la )I ZS g 6 3 1 SY 3 7 SQ Bf 6.✓� �� <br /> ISAMPLE DEPTH TO WATER- SAMPLE INFORMATION SAMPLE TURBIDITY Cie,, <br /> 80% RECHARGE x YES NO ANALYSTS 7-?9 9 Efix <br /> ODOR P*'e5en+- SAMPLE VESSEL./PRESERVATIVE yd A,( (f <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> BIadder Pump Bailer(Teflon) Bladder Pump Bailer(Teflon) — <br /> CentrAugal Pump —K Bailer(PVC) Centrifugal Pump X Bailer( _PVC or x disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other- Other <br /> Pump Depth <br /> WELL INTEGRITY aeaE LOCKA <br /> SIGNATURE Page of <br />