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 \u003Cbr>Project No:  \u003Cbr>Sample No.:  \u003Cbr>C.OC.No.:  \u003Cbr>[]Pand  \u003Cbr>[]Spring  \u003Cbr>[]Stream  \u003Cbr>MWell  \u003Cbr>Newbe fowash  \u003Cbr>103554350  \u003Cbr>十  \u003Cbr>470 (z2M.11   \u003Cbr>R   |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| 2  \u003Cbr>NA  \u003Cbr>Gallons/day,if melered__  \u003Cbr>Number of people using this water source:__  \u003Cbr>NO  \u003Cbr>Estimated  \u003Cbr>Actual size  \u003Cbr>Size of tank.  \u003Cbr>Pressure Tank:  \u003Cbr>gallons  \u003Cbr>Water Use:  \u003Cbr>Damestic  \u003Cbr>rrigation  \u003Cbr>Other:  \u003Cbr>Husbandry  \u003Cbr>FT  \u003Cbr>Long:__  \u003Cbr>GPS Coordinates:(in NAD 83)Lat:_  \u003Cbr>Eevation_  \u003Cbr>Compass course fram water source todweling:SC  \u003Cbr>之__FT  \u003Cbr>___Estimated distance from water source to dwelling:   |  |  |  |  |  |  |  |  |\n| Wellinformatian  \u003Cbr>Diamtype  \u003Cbr>Depth  \u003Cbr>Water Level  \u003Cbr>Driler  \u003Cbr>uN/  \u003Cbr>UNI  \u003Cbr>200～2zo'  \u003Cbr>6   |  |  |  | Spring/Pond/Stream Infomation  \u003Cbr>Flow rate  \u003Cbr>Measured from:Dischearge  \u003Cbr>Canstructian:Nane/Sprin  \u003Cbr>Field  \u003Cbr>Streamflow measurements an separate sheet?YES NQ   |  |  |  |  |\n| Repoted Or Measured  \u003Cbr>Pump Type/depth.  \u003Cbr>iledDug/Other?ml,D2~  \u003Cbr>Year Drilled Bt  \u003Cbr>41958  \u003Cbr>sohms,bl   |  |  |  |  |  |  |  |  |\n| PURGE and SAMPLING DATA:   |  |  |  |  |  |  |  |  |\n| 1210  \u003Cbr>Time  \u003Cbr>Datez911   | Color  \u003Cbr>(Visual)   | pH  \u003Cbr>(SU)   | S.C.  \u003Cbr>(mS/cm)   | Temp.  \u003Cbr>(C)   | Turbldity  \u003Cbr>(NTU)   | DO  \u003Cbr>(mg/l)   | Sallnity  \u003Cbr>(%)   | okPLJ)   |\n|  |  |  |  |  |  |  |  |  |\n| i15s   | Clee   | Yo   | 0196   | 20.6○   | 2.6   | 7.78   | 0-00   | 208-5   |\n| 1200   |  | 6.3Y   | 0.193   | 18.01   | 2.3   | 7.57   | 0·00   | 03.7   |\n| lo5   |  | G.32   | 0197   | 16.2%   | 2,乙   | ,65   | θ.00   | 1991   |\n| (2lo   |  | 6.35   | 0.193   | IS.46   | 2.1   | 7.76   | 0.00   | 193.2   |\n| (215   |  | 6.37   | 0.193   | I5小   | 2.1   | 7.80   | a60   | 88.5   |\n| 1220   |  | .35   | 0.192   | 14.96   | 乙.1   | .87   | 0·00   | 187.5   |\n| SAMPLE COLLECTION INFORMATION:   |  |  |  |  |  |  |  |  |\n| Analysis   |  | Preservative   |  | Container Requlrements   |  |  |  | TIme   |\n| K   |  | N   |  | 250m!  \u003Cbr>PeL   |  |  |  | 122J   |\n| NA  \u003Cbr>I  \u003Cbr>Mn   |  | HNO3   |  | 1-  \u003Cbr>5   |  |  |  |  |\n| S0-,CK   |  | NP   |  | 2 54m/  \u003Cbr>—  \u003Cbr>-   |  |  |  |  |\n|  |  | Hz S0   |  | 25u m   |  |  |  |  |\n|  |  | TAZMA   |  | Z  \u003Cbr>下  \u003Cbr>2S0   |  |  |  |  |\n| ___—   |  |  |  |  |  |  |  |  |\n|  |  |  |  | 1   |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |\n| OBSERVATIONS/NOTES:   |  |  |  | MAP:   |  |  |  |  |\n| Proide details on any treatment systems NOM七  \u003Cbr>UVSystem  \u003Cbr>Filter  \u003Cbr>Water Sdftener  \u003Cbr>lother:  \u003Cbr>Proide details on where sample was cdllected from:  \u003Cbr>os .5人  \u003Cbr>℃  \u003Cbr>samy!   \u003Cbr>collrcted   |  |  |  | Noft T ScmLr  \u003Cbr>小  \u003Cbr>loc心  \u003Cbr>s)  \u003Cbr>Ho054  \u003Cbr>R  \u003Cbr>0  \u003Cbr>lh   \u003Cbr>Re  \u003Cbr>1 R   |  |  |  |  |\n|  |  |  |  | Sampler Name and Signature(  \u003Cbr>2  \u003Cbr>Rj   |  |  |  |  |\n\n# PRIVATE WATER SUPPLY SAMPLE LOG SHEET\n\n\n| Project Site Name:  \u003Cbr>PPC  \u003Cbr>fw  \u003Cbr>Mi~b  \u003Cbr>Water Source IDNo:  \u003Cbr>Project No.:  \u003Cbr>Sample No.:  \u003Cbr>10355435015  \u003Cbr>C.OC.No:  \u003Cbr>well  \u003Cbr>[]Sream  \u003Cbr>[]Pand  \u003Cbr>[】Spring  \u003Cbr>A  \u003Cbr>kycm  \u003Cbr>Sb5  \u003Cbr>505   |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| 5  \u003Cbr>Number of people using this water source  \u003Cbr>Gallons/day,if metered:_  \u003Cbr>30  \u003Cbr>Size of tank.  \u003Cbr>NO  \u003Cbr>Pressure Tank:YES  \u003Cbr>Unknomn  \u003Cbr>Actual size  \u003Cbr>_gallans  \u003Cbr>Other:  \u003Cbr>Irrigation  \u003Cbr>Husbandry  \u003Cbr>Domeotlc  \u003Cbr>Water Use:  \u003Cbr>_FT  \u003Cbr>Eevation._  \u003Cbr>Long:_  \u003Cbr>GPS Coordinates:(in NAD 83)Lat:_  \u003Cbr>_FT  \u003Cbr>Estimated distance from water saurce to dwelling  \u003Cbr>Conpass course from water saurce to dwelling:  \u003Cbr>SW  \u003Cbr>N斤  \u003Cbr>YD   |  |  |  |  |  |  |  |  |  |\n| Well informatian  \u003Cbr>Depth  \u003Cbr>Diamtype  \u003Cbr>Water Level  \u003Cbr>Driller  \u003Cbr>thb  \u003Cbr>UNI  \u003Cbr>0C  \u003Cbr>61   |  |  |  |","cbCaiusZsRTCoKgI","https://ap.wps.com/l/cbCaiusZsRTCoKgI","pdf",1060837,22,"English","# Project and Site Information\n## Well and Source Details\n# Purge and Sampling Data\n## Sample Collection Information\n# Observations/Notes","[{\"question\":\"What information is recorded for each water source sample?\",\"answer\":\"The sheet records site and project identifiers, water source type (well/spring/stream/pond), water-use context, tank/pressure details, depth and water level information, and GPS coordinates.\"},{\"question\":\"Which water quality parameters are included in the purge and sampling table?\",\"answer\":\"It includes measurements such as pH, specific conductivity (S.C.), temperature, turbidity (NTU), dissolved oxygen (DO), salinity (%), and other listed fields alongside the sampling time and date.\"},{\"question\":\"How is sample handling documented on the sheet?\",\"answer\":\"Sample collection information includes analysis types, preservative used, container requirements, and the time associated with collection, ensuring traceability for lab testing.\"}]","PRIVATE WATER SUPPLY SAMPLE LOG SHEET - Sampling Record | PDF",1791299003,55]