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�,fJJ VIlL< 11444! 14+4r•+VM-+ ' �r�v• <br /> WATER SAMPLE FIELD DATA SKEET �( <br /> y (�' �_ , _ ; PURGED BY lrl'\U WELL I D � <br /> PROIECT!/ <br /> CLIENT NAME RQJ_o ZDc > SAMPLED BY. r'11L SAMPLE I D � <br /> ON t \ QA SAMPLES <br /> DATE PURGED L - t ��5 START(24=ir) - END (24a01ir) <br /> DATE SAMPLED 3- 1 ; SAMPLE TIME(2400hr)` ` <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DLAMETER 2' 3' 4- x 5' _ 5' 8' _ Other <br /> Casing Volume (gallons per foot) (0 T7) (0 38) ( 57) (t 02) (T 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 /> (240040-1 (gal) (degrees F) (umhos/cm) (units) (visual) (NTP) <br /> SAMPLE INFORMATION LOW <br /> SAMPLE DEPTH TO WATER r SAMPLE TURBIDITY l_. <br /> 80% RECHARGE NO ANALYSES ' <br /> ODOR SAMPLE VESSEL/ PRESERVATIVE <br /> PURGING EQUIPMENT` ` SAMPLING EQUIPMENT <br /> Bladder Pump Batter eflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bader(PVC) Centrifugal Pump Bailer( _PVC or disposable) <br /> Submersible Pump Bader(Stainless Steel) Submersible Pump Bailer(Stainless Steel)u <br /> Pertstaluc Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCIC/f <br /> REMARKS <br /> S � <br /> 1 <br /> SIGNATURE Page of <br />