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WATER SAMPLE FIELD DATA SHEET <br /> .3 PROIECr!/ PURGED BY WELL I D <br /> CLIENT NAME 2 D'13 SAMPLED BY- rvi i- SAMPLE I D - <br /> LOCATION t -z- \ QA SAMPLES f <br /> DATE PURGED 3- - � START(24Whr) END (24001tr) 4 -2 <br /> DATE SAMPLED 3 7 SAMPLE TIME(24001ir) <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2' X 3- 4' _ 5" 6' 8" Othcr <br /> Casing Volume (gallons per foot) (0 I7) (0 38) (0 67) (1 02) (1 50) (2 60) { ) <br /> DEPTH TO BOTTOM(fret) _ � CASING VOLUME(gal) <br /> DEPTH TO WATER(feet) 12 �� CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) = -� ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COIAR TURBIDITY <br /> (2400hr) (gat (degrees F) (umhoslcm) (units) (visual) � , (MU) <br /> -SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER c SAMPLE TURBIDITY „ <br /> 80% RECHARGE IYES NO ANALYSES -T <br /> ODOR O Iv SAMPLE VESSEL/PRESERVATIVE V O f, <br /> PURGING EQUIPMENT %-� SAMPLING EQUIPMENT <br /> Bladder Pump Bailer(Teflon) Bladder Pump Baiter(retlon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or 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 LOCK# <br /> REMARKS <br /> Page of <br /> SIGNATURE <br />