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h <br /> URS <br /> FIELD RECORD OF WATER SAMPLINGn. '� <br /> Well No.:--tW- Job Number: 3 <br /> Depth of Well: _ _ (0::;, cJ Feet Client: ,A ` r <br /> Casing type/Diameter: 0 Inches Location: <br /> Borehole Diameter: inches Sampled b : ,►(w ,�.,,� <br /> P Y <br /> ` Temp: or °C <br /> PURGING PRIOR TO SAMPLING t ' <br /> Purging Method: Q Coy') Pump Flow Rate: <br /> Initial Water Level: OS. One Casing/Borehole Volume (Gallons): , <br /> Start Time: I ss Purge Volume (3CVs) 4I r 33 <br /> Date Time Tem Spec. PH Turbid Gallons Comments <br /> p Cond. y Removed (appearance of water,odor,etc.) <br /> to Apl <br /> ail lq19 <br /> Purge water stored/disposed of where/how: �(X . X- <br /> RECORD OF SAMPLING { <br /> Sampling Method: <br /> Date of Sample o Time l2Qa � Depth of water at time of sample - a� <br /> Sample No. Container Types Analysis Temp. aLk J-P °C , <br /> � ,J�"� vot3s4c.o3. <br /> m ` a �b tis M Spec.Cond. us/cm <br /> PH <br /> Comments <br /> Casing Capacities: (T.D.-W.L.)*D2*0.040$ <br /> 2-inch hole................0.16 gal/lin ft. 3CVol = 0.5 X W.D. <br /> ! . <br /> 4-inch hole................0.55 gal/lin ft. 3Cvol = 0.64 X W.D. <br /> jC(. <br /> SASamh Tourrelf6rms\URSH20smp1e.doc " <br />