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WATER SAMPLE FIELD DATA SKEET <br /> PROJECT b PURGED BY Yll�I/ WELL I D <br /> CUENT NAME Z pS 7j SAMPLED BY: ry-OL.. SAMPLE I D hz <br /> TION q 46,T QA SAMPLGS <br /> 1 --7 <br /> DATE PURGED 3-11 -51 START(2400th) ' � b END {2400hr} 114 <br /> DATE SAMPLED 1 _ SAMPLE TIME(240010) w1 <br /> SAMPLE TYPE Groundwater _ Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2- 3- 4' 5' 6- - 81 Othcr <br /> Casing Volume (gallons per foot) (0 17) (0.38) (0 67) (L 02) (I 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) _ 2-5- <br /> 5- CASING VOLUME(gal) = 2 ,—]'Z <br /> DEPTH TO WATER(feet) = CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) _ . b ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umbos/cm) (units) (v sual) (NTU) <br /> 6 ID <br /> ( ,SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER __ SAMPLE TURBIDITY <br /> 80% RECHARGE 5'ES_NO ANALYSES }�-� �T�X YY11- PsC- <br /> ODOR 0 N SAMPLE VESSEL/PRESERVATIVE <br /> PURGING EQUIPMENT _ �,� SAMPLING EQUIPMENT <br /> Bladder Pump Bailer ) Bladder Pump Bailer{Icflon) <br /> Centnfugal Pump Bailer(PVC) Centrifugal Pump -�Bailer( _PVC or ►/' disposable) <br /> Submersible Pump Bailer(Stainless Stec[) Submersible Pump Bailer(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Ocher Odier <br /> Pump Depth <br /> WELL INTEGRITY D LOCK# <br /> REMARKS <br /> SIGNATURE Page of <br />