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,SP,wH dnteriutttonat ,tau, <br /> WATER SAMPLE FIELD DATA SHEET <br /> WELL I D <br /> PROTECT# oi-7,y I jZ,5,t)S--a PURGED BY 1 _ <br /> CLNT NAME A rt_o 3 Z� SAMPLED I3Y _ SAMPLE I D <br /> IE �- <br /> LaraTloN LlTrw�� � ��c <br /> Ccs QA SAMPLES <br /> i1 <br /> DATE PURGED ° a START(24001ir) I y Z� END (2400111-) f{S <br /> DATE SAMPLED 'Z-Z'1'Do SAMPLE TIME(24001[1-) L7 <br /> SAMPLE TYPE Groundwater <br /> /\ Surface Water Treatment Effluent Other <br /> CASING DIAMETER <br /> 2" 3_ 4- 5- 61 81 Other <br /> � ( ) <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (260) <br /> DEPTH TO BOTTOM (fee() _ <br /> CASING VOLUME(gal) = <br /> DEPTH TO WATER(acct) <br /> D CALCULATED PURGE(gal) _ <br /> r ACTUAL PURGE(gal) = �� <br /> WATER COLUMN HEIGHT(feet) = L V <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400hr) (gal) (degrees F) (umbos/cm) (units) (visual) (NTU) <br /> — Z ,1 �1�� — pyo <br /> vc <br /> y <br /> SAMPLE INFORMATION <br /> � SAMPLE TURBIDITY: <br /> SAMPLE DEPTH TO WATER <br /> »Q96 REQ�ARGE: ' YES NO ANALYSES- <br /> i I x M <br /> ODOR <br /> -~ SAMPLE VESSEL I PRESERVATIVE pPA 'r <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> Bladder Pump Centrifugal Pump _�Ba�Ecr( _PVC or ?edisposable) <br /> Ccntnfugal Pump Bailer(PVC) <br /> Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Submersible Pump ?�j^�► Peristaltic Pump Dedicated <br /> Peristaltic Pump Dedicated <br /> Other <br /> Other <br /> Pump Depth 2. <br /> WELL IN <br /> O rte- a It- LOCKJI <br /> REMARKS <br /> Page of <br /> JZ- <br /> SIGNATURE <br />