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�f WATER SAMPLE FIELD DATA SHEET Rev- 1192 <br /> PROJECT NO X77"7'7— -709 U ) _ SAMPLE ID <br />. M C ONCION PURGED 13Y <br /> ISOGs Gc,r» CLIENT NAME -'�H- G ZGI <br /> SAMPLED BY _ ]. _ LOCATION <br /> TYPE Ground Water ",5 Surface Water Leachate Other <br /> CASING DIAMETER (inches) 2 3 4 _)-- 4 5 6 Other <br /> CASING ELEVATION (feet/MSL) VOLUME IN CASING (gat ) �- { <br /> DEPTH OF WELL (feet) 7 CALCULATED PURGE (gal ) �9 7 <br /> DEPTH TO WATER (feet) t Z` ACTUAL PURGE VOL (gal ) <br /> DATE PURGED � � End Purge _ �- <br /> DATE SAMPLED Sampling T Te <br /> _ 'IE VOLUME pH EC TEMPE=_-,TURE COLOR TURBIDITY <br /> _soo Hf) (gat 1 (units) (Wnno"a)25-C) l =� (visuailcobalt) (visuallNTU) <br /> OTHER ODOR <br /> (C (N - 001 <br /> FIELD OC SAMPLES COLLECTED AT THIS WELL (t a FB-1 X-DUP-1) <br /> PURGING E©UIPMFNT SAMPLING EOUIPMENT_ <br /> 2•Bladder Pump Bailer(Teflons) 2'S1Pump Z—Ballet(Teflwe) <br /> =Centrttugal Pump Sailer(PVC) Bomb Sampler Bailer(Sudnilm Steell <br /> Submersible Pump Bailer(Stainless Steell Dipper Subtttlerstble Pump <br /> Well WizardTM Dedicated Well W'EZ=TM Ded',111d <br /> Other Other <br /> WELL INTEGRITY LOCK <br /> REMARKS ct -0 /3 <br /> (1? <br /> pH EC Temp Meter Calibration Date Time Meter Serial No <br /> E C 1000 .,, pH 7 pH 10 .,�� pH 4 � <br />. Temoerature ' F <br /> Signature ,� Reviewed By Page of --Zv <br />