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WATER SAMPLE MELD DATA SKEET <br /> I ___j <br /> PROJECT I ?Cj 640_(,,per O 2 PURGED BY WELL I D ��2 �- <br /> CLI[ENT NAME /421-0 20'1 3 SAMPLED BY. m`� SAMPLE I D.: <br /> nON 3y /ZA�F v C QA SAMPLES <br /> DATE PURGED c� START(24001ir) 1 -2- 3]?> END (2400110 Z �Z <br /> DATE SAMPLED ./ SAMPLE TIME(2400hr) 12-'3 <br /> SAMPLE TYPE Groundwater Surface Water Treatment Effluent Other <br /> CASING DIAMETER. 2' 3' 4' 5'� 6- ^ 8' Other <br /> Casing Volume: (gallons per foot) (0 I7) (0.38) (0 67) (102) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet) s7 CASING VOLUME(gal) _ _ a -2 c\ <br /> DEPTH TO WATER(feet) tk CALCULATED PURGE(gal) = -Z:7 <br /> WATER COLUMN HEIGHT(feet) _ ACTUAL PURGE(gal) _ �! <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP. CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400fir) (gal) (degrees F) (umbos/cm) (units) (visual) (NTU) <br /> fly-r v <br /> SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER. Z LAI SAMPLE TURBIDITY: <br /> 80% RECHARGE IYES—NO ANALYSES:�a ` roc -- <br /> ODOR- SAMPLE VESSEL/PRESERVATIVE' .? ViPAS f 7 ► C L <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bladder Pump [� Bailer(Teflon) Bladder Pump Bailer(Teflon) <br /> l p �` Bailer(PVC) Centrifugal Pump _Bailer( _PVC or tsposable) <br /> Ceram[ <br /> Pump OI <br /> Submersible Pump Bailer(Stainless Steel) Submersible Pump Bader(Stainless Stec!) <br /> Peristaltic Pump Dedicated Peristaltic Pump Dedicated <br /> Other Odier <br /> Pump Depth <br /> WELL INTEG lL & LOCIC.�' /3'���L <br /> REMARKS L <br /> SIGNATURE Page Z of <br />