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il.L' L.V.C� 1C4LG'IlLU1.LVILCLL .tl4l._ <br /> s / WATER SAMPLE FIELD DATA SHEET <br /> PROJECT o © Z PURGED BY -r WELL I D <br /> CLIENT NAMES � SAMPLED BY G'_ SAMPLE I D <br /> OCATION QA SAMPLES <br /> DATE PURGED J c� �j START (24001ir) i�j 7 END (2400hr) f 3 3 <br /> DATE SAMPLED (�5 ZS'9C> (� SAMPLE 1 IME(2400hr) r 3� <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 I7) (0 38) (0 67) (l 02) (I 50) (2 60) ( } <br /> DEPTH TO BOTTOM(feet) = Y` CASING VOLUME(gal) = <br /> DEPTH TO WATER(feet) = �O CALCULATED PURGE(gal) = <br /> WATER COLUMN HEIGHT(feet) = ACTUAL PURGE(gal) _ <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umbos/cm) (units) (visual) (MTU) <br /> Alej <br /> �s ..UT� l3EG��' o Sc�E�i✓ <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATEIL SAMPLE TURBIDITY <br /> 80% RECHARGE _YES NO ANALYSES <br /> ODOR �r]COC�r SAMPLE VESSEL I PRESERVATIVE }` VO 0"I— <br /> PURGING <br /> "PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Primp Batter(Teflon) Bladder Pump Bader(Teflon) <br /> Centrifugal Pump Bailer(PVC) Centrifugal Pump Bailer( _PVC or 1Kdisposable) <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bader(Stainless Steel) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY COO Locfu t�, <br /> REMARKS <br /> Page of <br /> SIGNATURE �/�� <br />