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WATER SAMPLE FIELD DATA SHEE Rev 1192 <br /> OROJECT i,10 '1 7r�=7 {` _. <br /> UACON SAMPLE ID I <br /> �^r — <br /> `~ CLIENT NAME <br /> 7f j LOCATION <br /> GrOuna Water :�/ - S J <br /> �rface Water Leachate Other <br /> C-S,NG DIAMETER f:ncnes) ' 3 a -�L 5 <br /> 6Other <br /> CASING ELEVATION (feet/MSLI <br /> -- VOLUME 1N CASING y31 <br /> DEPTH OF WELL (feet) CALCULATED PURGE ,gaf <br /> DEPTH TO WATER (feet) ACTUAL PURGE VOL fgai <br /> End Purge <br /> .DATE SII-- <br /> `=u-1 Lel� Samottnta 3:me <br /> _iME VOLUME cH c C T EMPEPATURE <br /> _-00 HO :OLOR R18IDITY <br /> (gal ) inrts) ';'mrtosrcm(W 25' Cl ('F) {vrsrraut�oaft (vtSUwNTu) <br /> OTHER , JOO <br /> (COBALT 4100) {H�26F)-- <br /> = ELD OC SAMPLES COL_LECTEL} -T THIS ELL f: a F8 I X DUP 1) <br /> P n r <br /> -"r r D'1 <br /> = 8ladaer Pump =3,ler(Tellon4g) 2't3tadder Pump Sadat Te}1ar�) <br /> FNT <br /> 1 <br /> Centrrtugat Puma .aster(PVC) <br /> aomb Sampler Sailer tSta nkm st"W <br /> Submerstole P p aailw(Stainless Steel) Oipper <br /> SubmerstlSy P=pNeu Wiz dr" .edlratea Well Wrzaral" <br /> _ Dedic�oed <br /> O that <br /> V+ELL INTEGRITY <br /> LOCK It <br /> PF"ARKS I ,Ag 0 9 U nA A <br /> `emo Meler Calibration Oate ime '1etet Serral No <br /> PH 10 <br /> LTe- eratu`g ' F <br /> -atu(re D •+rc l"��.� �� <br /> / Revlewecl ByPage of <br />