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WATER SAMPLE FIELD DATA SHEET Rev 1192 <br /> �U0 PROJECT NO C} ! a � � SAMPLE ID �- <br /> SEMCON PURGED BY 1 �'� � CLIENT NAME il�r� 2( 3 3 <br /> A SSOC 1.%7E3 <br /> SAMPLED BY LOCATION IG + n <br /> TYPE Ground Water __::� Surface Water Leachate Other <br /> CASING DIAMETER (Inches) 2 3 44 <br /> 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) 3 VOLUME 1N CASING (gal ) <br /> DEPTH OF WELL (feet) CALCULATED PURGE (gal ) 3 <br /> DEPTH TO WATER (feet) + <br /> 'C <br /> LQ ACTUAL PURGE VOL (gal ) <br /> DATE PURGED 4" 2 Z R Z End Purge <br /> DATE SAMPLED Sampling Time Z 20 <br /> TIME VOLUME PH E C TEMPERATURE COLOR TURBIDITY <br /> �9� � {ypi� (yAmh���25'C) r -`TJ - i(�su� ( <br /> �anbatt) E��tYTU) <br /> LA �20 dl � tU(j 3 <br /> I <br /> OTHER Sah0�r�� 7,-7 ODOR ' <br /> hfi <br /> OBALT 0-100) (NTU 0-200) <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (i a FB-1. X-DUP-1) <br /> r Bladder Pump Bailer(Tenor+®) r Bladder Ptxnp Bailer(Tesoro) <br /> Centrifugal Pump Barter(PVC) Bomb Sampler Barter(Stainless Steel) <br /> Submersrbie Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well Wizardrm Dedicated Well Wizard Dedicated <br /> Other Outer. <br /> i <br /> WELL INTEGRITY C — LA)CA ` 0 0 e C' LOCK <br /> +-,z::3-. J act I 16/g 0 to 2l I'&4.ez <br /> RE LVg I J r a Z <br /> q� 2zav <br /> pH E C.T �AAeter Calitx� Date -Timee C4-S o v^w Saw NA <br /> E C 1000 �...� PH 7 I PH t0, P84 •] `-j <br /> Temperature °F UC-1 . <br /> Signature Reviewed By Page — — Of <br />