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WATER SAMPLE FIELD DATA SHEET Rev 1197 <br /> PROJECT NO -ar C � SAMPLE ID �z <br /> PURGED BY CLIENT NAME <br /> OWT SAMPLED BY LOCATION (!,,L-6i' _ <br /> TYPE Groundwater Surface Water Leachate Other <br /> CASING DIAMETER(inches) 2 3 4 45 6 Other <br /> CASING ELEVATION(feet/MSL) rrk VOLUME IN CASING(gal) !f q <br /> DEPTH OF WELL(feet) CALCULATED PURGE(gal) vy <br /> DEPTH OF WATER(feet) f I ACTUAL PURGE VOL (gal) <br /> DATE PURGED ,�— 9'? END PURGE / (I <br /> DATE SAMPLED 1 SAMPLING TIME 1-31 <br /> TIME VOLUME pH E C TEMPERATURE COLOR TURBIDITY <br /> (2400 HR) (gal) (units) (µmhos/cm@25°c) (°F) (visual) (visual) <br />. OTHER al __ ODOR DbIZao G- <br /> (COBALT 0 100) (NTU 0 200) <br /> FIELD QC SAMPLES COLLECTED AT THIS WELL(i a FB-1,XDUP-1) <br /> PURGING ENT 5A PLING EQUIPMENT <br /> 2 Bladder Pump Barter(Teflon) 2 Bladder Pump —)L—Bailer(Teflon) <br /> Ceninfugal PumpBailer(PVC) Bomb Sampler Batter(Stainless Steel) <br /> Submersible Pump Bailer(Stainless Steel) Dipper Submersible Pump <br /> Well WizardO Dedicated Well Wizard6 Dedtcated <br /> Other Other <br /> WELL INTEGRITY 0 LOCK <br /> REMARKS <br /> pH E C Temp Meter Calibration Date —� y / ! Time Meter Sena]No <br /> E C I O00 ! pH 7 / pH 10 ! pH 4 ! <br /> J TLrnperature*F <br /> SIGNATURE REVIEWED BY PAGE �OF� <br />