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1.1L�t/L/�.t .CII.LCi! !L{a.1.1.11ILI.CL 1I41 . <br /> WATER SAMPLE FIELD DATA SHEET I D <br /> r PROTECT# 6,x)- - 0 PURGED BY t _ WELL I D <br /> k n <br /> CL[ENT NAME RQ-k0 2[)5 3 SAMPLED BY: Ty-OL SAMPLE I D <br /> CATION t Ll <br /> q QA SAMPLES <br /> DATE PURGED L START(2400hr) �5. 2- 1 END (240010 �- <br /> DATE SAMPLED 3 1 S� SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2- 3` _ 4' S` 6- - 8' � Other <br /> Casing Volume (gallons Per foot) (0 17) (0.38) (0 67) (I 02) (I 50) (2 601 { ) <br /> DEPTH TO BOTTOM (feet) = a>0 CASING VOLUME(gal) _ <br /> DEPTH TO WATER(feet) = z. CALCULATED PURGE(gal) = <br /> WATER COLUMN HEIGHT(feet) S ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr (gal) (degrees E•7 ( mhos/cm) -�(um�u)� (visual) (N1`U) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER 2'Lk SAMPLE TURBIDITY <br /> 80% RECHARGE 'CYES_NO 61-616k ANALYSES ! nt�• <br /> ODOR +" SAMPLE VESSEL/PRESERVATIVE \j-o f,. �- + �A!•A-- -- <br /> PURGING EQUIPMENT SAMPLING <br /> SAMPLING EQUIPMENT <br /> Bladder Pump �akr(Teflon) Bladder Pump Bailer(Teflon) <br /> {T <br /> Centnfuga[ Pump Bailer(PVC) Centrifugal PumpBailer( _PVC or �d.ssable) <br /> Submersible Pump Bailer(Stainless Steel) Submerstblc Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Pertstaluc Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> LOCKII <br /> WELL INTEGRITY <br /> REMARKS S <br /> Page-�— of j- <br /> SIGNATURE <br />