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SMITH ENVIRONK ENTAL TECHNOLOGIES WATER SAMPLING LOG <br /> SITE ,t� 'L <br /> WELLISAMPLE DESIGNATION r DATE Lo- -c: <br /> uG <br /> SAMPLE SOURCE PROJECT# <br /> BIENT CONDITIONS '30 �� SAMPLED DY <br /> GRAB SAMPLE INFORIII,ATION (use notes section for meter reading, flow rate,vol Rurged etc) <br /> GRAB SAMPLE METHOD CONTINUOUS PUMPER—YES NO pH INSTRUMENT <br /> —/-- <br /> PUMP CYCLING YES O <br /> WATER LEVEL INFORMATION MEASURING POINT INSTRUMENT USED <br /> L BEFORE PURGE 10 *0 TIME �' W L AFTER PURGE TIME <br /> W LFOR 80%RECOVERY_ W L TIME OF SAMPLE DATE TIME <br /> MONITORING NVELL PURGE INFORMATION MONITORING WELL PURGE METHOD <br /> PURGE DEVICE ID <br /> WELL DEPTH rZ_j,3�- DIAMETER #CASING VOLUMES (PROTOCOL) 3 <br /> SCREENED INTERVAL PUMP SETTING <br /> PURGE VOLUME CALCULATION 10 ATIM -� ` �( 4 �►�( 3- <br /> r <br /> E PURGE BEGINS IA ACTUAL AMOUNT PURGED- _pH INSTRUMENT::U_ <br /> ME TEMP COND pH PURGE WATER APPEARANCE/ODOR TURBIDITY <br /> l ib 4g, lb S�3111175 '1c,,> ac1-L e-� ?a✓' r <br /> �0 43 Co -7 11 0 <br /> (o Z Z- -fon O z>cw,, <br /> ATER SAMPLING INFORMATION MONITORING WELL SAMPLE METHOD <br /> APPROXIMATE DEPTH OF GRAB <br /> SAMPLING DEVICE ID ►, � SAMPLING TIME I DATE (,0-4-ORO <br /> BOTTLE TYPE NO VOLUME ANALYSIS LAB PRESERVATION FILTRATION <br /> DECONTAMINATION INFORMATION <br /> URGE DEVICE ID V e'ln HOSE REEL SAMPLING DEVICE ID HOSE REEL_ <br /> REVIOUSLYy USED IN WELL. L� PREVIOUSLY USED IN WELL. �" <br /> ITE V 1lh �� 32 SITE <br /> ECON METHOD/STEAM TAME ECON METHOD/STEAM TIME <br /> RINSEATE SAMPLE.—YES�NO I D RINSEATE SAMPLE YESX_NO ID <br /> QAJQC INFORMATION <br /> 1 'SAMPLE SHIPMENT TRAVEL BLANK YES_NO ID QA/QC SPIKE YES NO ID <br /> JDUPLICATE_YES�NO ID FIELDBLANKYES�NO ID DI ER-LAB SPLIT YESNO ID <br /> OTES <br /> C <br /> 1SAMPLING1SAMpLOG XLS <br />