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WATER SAMPLE FIELD DATA SKEET <br /> tt r <br /> PROTECT 11 ' _ PURGED BY WELL I D PtT[Z La <br /> �(���_ � <br /> CUENT NAME RILD Zp5 3 SAMPLED BY: ry-OL SAMPLE I D <br /> LOCATION t Tam-\i , QA SAMPLES <br /> DATE PURGED -l-�.� START(-2400Itr) � END (2400hr) L3- 3 <br /> DATE SAMPLED 3- I_�- 5SAMPLE TIME(240011r) } 2-L-!, <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2` 3' 4' 5' 6' 8' Other <br /> Casing Volume (gallons per foot) (0 l7) (0 38) (0 67) (l 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) = CASING VOLUME(gal) = 2�, <br /> DEPTH TO WATER(feet) = ID. t CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) = V4 .15 ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> 3400hr]„ (gel) (degrees {u�j t�n a-1, cm} �u ) ( <br /> visual) (NM <br /> --)`iftt=tJ�— <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER. 1 SAMPLE TURBIDITY <br /> SOX RECHARGI= KFS—NO ANALYSES -c I?, f:X j M�_ <br /> ODOR W &*(% SAMPLE VESSEL I PRESERVATIVE_—i_ Q E S } VA G <br /> PURGING EQUIPMENTSAMPLING EQUIPMENT <br /> VA v <br /> Bladder Pump Bailer (Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Bailer (PVC) Centrifugal Pump Bader( ,PVC or disposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel)^ <br /> Peristaltic Pump Dedicated PerlStaltic Pump Dedicated <br /> Ocher 011ier <br /> Pump Depth <br /> WELL INTEGRITY Od LOCK# Oct <br /> l O`� <br /> REMARKS r'• 'C 112 <br /> SIGI�IATURE Page of 4- <br />