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WATER SAMPLE_PIELD DATA SH—Et—__ 1 Rev.'"ID <br /> PR07Ec7r NO 23 7_ pp v SAMPLE ID. Af (,/ - ,5' 0-K <br /> PURGED BY - {� J. ;5,-. C E-MNi'NAME_ PA60 <br /> DWT SAMPLED BY LOCATIO\ <br /> TYPE-' Orwndwata— Surface Water_ f.A arm Otber. <br /> CASING DIAMETER(inches). 2 3 4 }4 45 rte! 6 Ott <br /> CASING ELEVATION(fcWf SL) VOLUME IN CASWG(gal.) 2 3. y <br /> DFFTII OF WEI.L.(fee ) - S CALCULATED PURGE(gaL). 7 c, . -2- <br /> DEFMTO WATER(feet) ACIUAL PURGE VOL(gaL) <br /> DATE PURGED -/ - 9 END PURGE. J y a <br /> DATE SAMPLED. SAMPLING TIME- <br /> TIME VOLUME pH F-C TEMPERATURE COLOR TURBIDITY <br /> 2400 HR) ,( si.)� (ttttttst (umhoWem,0231c) CFl trete <br /> J�9 2 7 tz3or' 7G ( � <br /> e I� <br /> OTHER. �- ODOR• <br /> tC0BALT:M00) (qu 0-200) <br /> FTEL.D QC SAMPLES COLLECTED AT THIS WELL( t e.FB-1 XDUP-1) <br /> T` r' jv','FNrr <br /> '_'Bladder Pump Basler(Teflon) 2'BladderP, �Bmkr(Te(lonl <br /> Cewnfuga)Pump Baler(PVC) BombSamotc B=krtStatnlessStedt <br /> Submeiuble Pump Batler(Stwnk=Sted) Dipper Submembic Pump <br /> Well Wiratdd Dedicated Well Wuatat7 Ded=wW <br /> CilerOther r <br /> WELLINTEGRITY <br /> RESIL ARKS. <br /> pH.E.C_Temp.Meta Caltlranon. Dwe: Timm 7 r <br /> %Sesr Sesss)l%o <br /> E.E.C. L)1000 / pH7 7 ! �_�o <br /> • 'fe:maatme°t= 7� � pH 10 � a t / /o PH 4 <br /> SIGNATURE REVIEWED BY PAGE OF, —4- <br /> � <br />