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ATC ASSUMATES INC. WATER SAMPLINU 03-r, <br /> liBLIENT <br /> DESIGNATION L k - STCE: cm,k<-lz- z, � l 5'L <br /> DATE <br /> LE DESIGNATION h A Li) 4` PROJECT# 2.50$_ Opo 3 <br /> SAMPLER S,�� _ <br /> CONDITIONS <br /> WATER LEVEL INFORMATION <br /> MEASURING POINT T.O.C. <br /> L.BEFORE PURGE I'i� TIME --- W.L.AFTER PURGE TIME <br /> .L.FOR 80%RECOVERY W.L.TIME OF SAMPLE`�. DATE TIME <br /> ONITORING WELL PURGE INFORMATION MONITORING WELL PURGE METHOD <br /> LL DEPTH"ZS, O DIAMETER L #CASING VOLUMES <br /> SCREENED INTERVAL PUMP 5ETFTNG �—� , <br /> URGE VOLUME CALCULATION L f'' D 'to L' , 4ei — +-=, of--f <br /> ME PURGE BEGINS 1"�S ACTUAL AMOUNT PURGED G <br /> D.O. <br /> TIME VOLUME H COND. TEMP COLOR TURBIDITY mril/% O.R.P. <br /> I 3c)3 -2 ,0 .O"L Ct Is -?a 7 d -' <br /> , 3ps <br /> 4 .0 Z .L <br /> CAo'It' 7 I .Kj, 1, <br /> el0b - <br /> ;7ATER SAMPLING INFORMATION MONITORING WELL SAMPLE METHOD <br /> SAMPLING TIME 3 (.O DATE °I <br /> BOTTLE TYPE NO. VOLUME ANALYSIS LAB PRESERVATION FILTRATION <br /> 3 \ l Pt Tarn .LEta= -' <br /> AMPLING EQUIPMENT INFORMATION <br /> PURGE EQUIPMENT SAMPLING EQUIPMENT vv <br /> SUBMERSIBLE PUHIP BAILER(TEFLON) _SUBMERSIBLE PUMP T BAILER(TEFLON} BAILER(DISPOSABLE) <br /> AILER(PVC) _HONDA PUNIP _ _]DEDICATED _BAILER(PVC)_DIPPER PRESSURIZED DISPOSABLE BAILER <br /> OTHER: OTHER: <br /> REVIOUSLY USED IN WELL PREVIOUSLY USED IN WELL <br /> ITE SITE <br /> DECON METHOD ALCONOX LIQUINOX DECON METHOD ALCONOX LIQUINOX <br /> AIQC INFORMATION <br /> qffMP.BLANK YES NO <br /> RAVEL BLANK YES NO ID QA/QC SPIKE YES_Y, NO ID <br /> UPLICATE YES NQ ID FIELD BLANK YES NO ID <br /> L INTEGRITY: G o - LOCK#: O'� <br /> S <br /> IGNATURE: <br /> J � <br /> ' H'�jefllsam ling'sam log,xls <br />