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6p—cuA iniermutonuc mc.. <br /> WATER SAMPLE FIELD DATA SHEET <br /> PROJECT# 01-7,y 11 Z F,OS-0 PURGED BY _S:5 WELL I D [\ t `2 <br /> NAME A,Ct_o r} 1 SAMPLED BYSAMPLE I D fjZ V'\"Z <br /> TION 2 Tr��` '� J d I � C� QA SAMPLES <br /> t 1 END 400hr V3 <br /> DATE PURGED �� START(2400hr) �� f' � ) <br /> PIC <br /> DATE SAMPLED ty SAMPLE TIME(240010 <br /> SAMPLE TYPE Groundwater ' \ Surface Water Treatment Effluent Odier <br /> CASING DIAMETER 2" 3" 4' 5" 6" 8" Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (l 02) (! 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (feet) _ r CASING VOLUME(gal) <br /> = " <br /> CALCULATED PURGE(gal) <br /> DEPTH TO WATER(fmt) — 1 <br /> ACTUAL PURGE(gal) <br /> WATER COLUMN HEIGHT(feet) = <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/cm) (units) (visual) (NTM <br /> 7 F i <br /> to <br /> SAMPLE INFORMATION <br /> SAMPLE TURBIDITY <br /> SAMPLE DEPTH TO WATER. <br /> 80% REGTiARGE: YES NO ANALYSES <br /> ODOR SAMPLE VESSEL/PRESERVATIVE �A <br /> PUR NG FQUkPMENT SAMPLING EQUIPMENT <br /> i Bailer(reFlon) Bladder Pump Bader(Teflon) <br /> Bladder Pump > — Centrifugal Pum Bailer( _PVC or disposable} <br /> Centnfugal Pump 4 Bailer(PVC) g p ./ ailer Stainless Steel) <br /> Submersible Pump '? r Bailer Dedicated <br /> (Stainless Steel) Submersible Pump B <br /> Peristaltic Pump Dedicated <br /> Peristaltic Pump <br /> Other <br /> Other r <br /> Pump Depth <br /> WELL INTEGRITY O� L a��L LOCIVf <br /> 1 ' <br /> REMARKS <br /> Page of �Z <br /> SIGNATURE i <br />