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t„)LVV.iI .tlLGGI l4C.t.L4VlLl,t.a A+�a.. /,1 <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT A �{�ip,��)- ` PURGED BY WELL[ D �ZCo- <br /> ` � l <br /> CLIENT NAME Z M 3, SAMPLED BY. ry'OL-. SAMPLE 11) �O <br /> LOCATION L \ QA SAMPLES <br /> DATE PURGED START(2400hr) �u ? END(24001tr) �O <br /> DATE E SAMPLI~D _3 '�]� SAMPLE TIME(240010 -[1- <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2- 3- 4- 5-- 6- — 81 Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (l 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) _ �L� CASING VOLUME(gal) _ y <br /> DEPTH TO WATER(feet) CALCULATED PURGE(gal) = �� <br /> WATER COLUMN HEIGHT{feet) = IJP. 4!L <br /> ACTUAL PURGE(gal) <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) 199- <br /> ga (degrees F) (uumh�o-s�lem) r(units) (visual) (NTU) <br /> {� SAMPLE INFORMATION <br /> SAMPLE TURBIDITY PD <br /> SAMPLE DEPTH TO WATER �i a —��� <br /> 80% RECHARGE v Y1 S_NO ANALYSES <br /> ODOR _ SAMPLE VESSEL I PRESERVATIVE <br /> PURGING EQUIPMENT � SAMPLING EQUIPMENT <br /> Bladder Pump Bailor eflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bader(PVC) Centrifugal Pump _��Bailer( _PVC or _ tsposable) <br /> Submersible Pump Bader (Stainless Steel) Submersible Pump Bader(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> LOCKJf <br /> WELL INTEGRITY <br /> REMARKS <br /> SIGNATURE Page of <br />