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r + <br /> . EEwx 1nterruuionac inc.. <br /> WATER SAMPLE FIELD DATA SKEET <br /> PltaEcr# 017.yI;ZB,(75� <br /> PURGED 13Y 1 S WELL I D <br /> NAME Arco ZCq-S SAMPLED BY ��__ SAMPLE I D <br /> r C A SAMPLES <br /> ON 2 Tr�,.c J 1 d �L r-� Q <br /> DATE PURGED tJ r` START(2400hr) S CND (24001ir) <br /> DATE SAMPLED 2 2C\-00 SAMPLE TIME(2400tir) VA1 C) <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DLA.METER 2- 3` 4" 5' 6' 8" Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM (feet) _ <br /> Z CASING VOLUME(gal) = Z \-1 3 <br /> DEPTH TO WATER(feet) _ � CALCULATED PURGE(gal) _ �` •l�� <br /> WATER COLUMN HEIGHT(feet) = b t ACTUAL.PURGE(gal) = N <br /> F[ELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP_ CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umhos/em) (onus) (visual) (N U) <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER SAMPLE TURBIDITY <br /> 80% RECHARGF- YES—NO ANALYSES 1 <br /> ODOR- 4;;` SAMPLE VESSEL/PRESERVATIVE <br /> PUR NG EQUIP ENT SAMPLING EQUIPMENT <br /> Bladder Pump Baiter(Teflon) Bladder Pump Bailer(Teflon) <br /> Centrifugal Pump Centrifugal Pum Batler( PVC or disposable) <br /> Bailer(PVC} g P -�. <br /> Bailer Stainless Steel) <br /> _Submersible Pump 'l � Bailer Dedicated(Stainless Steel} Submersible Pump C <br /> Peristaltic Pump Dedicated <br /> Peristaltic Pump <br /> Other <br /> Other <br /> pump Depth <br /> WELL,INTEGRITY O A LAC <br /> REMARKS <br /> Page 7 of <br /> SIGNATURE <br />