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WATER SAMPLE FIELD DATA SHEET <br /> i <br /> PROJECT It i �- _ D PURGED BY WELL I D <br /> CLIENT NAME f��[D Z D5 3 SAMPLED BY: CY1'L SAMPLE I D —2 <br /> CATION t \ QA SAMPLES <br /> DATE PURGED —CLj START(24001,r) ���0 GZ END (2400hr) S Z <br /> DATE SAMPLED 3_ I�. J j SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2' 3' _ 4" 5' 6` _ 8' _ Other <br /> Castng Volume (gallons per foot) ( 17) (0 38) (0 67) (1 Q2) (1 50) (2 60) <br /> DEPTH TO BOTTOM (feet) _ CASING VOLUME(gal) _ <br /> DEPTH TO WATER(feet) = CALCULATED PURGE(gal) _ <br /> WATER COLUMN HEIGHT(feet) ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umbos/cm) (units) (visual) (NM <br /> .SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGE _yYFS NO ANALYSES 'TP�k-c 1?T E X j_ W1 r �LE, <br /> ODOR f3"rK:-/ SAMPLE VESSEL/PRESERVATIVE ti V LLLJ <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump Bader on) Bladder Pump Batter(Teflon) <br /> Centrifugal Pump Bader(PVC) Centrifugal Pump Sailer( _PVC or 4issable) <br /> Submersible Pump Bader(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Otter <br /> Pump Depth <br /> WELL INTEGRITY ^ LOCK# <br /> REMARKS \�� ��` A <br /> SIGNATURE22Page of <br />